NPIMap

Organization Active NPI

Cary Christian Dental Clinic

  • Dental Laboratory
  • Cary, MS
National Provider Identifier
1447512728
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental LaboratoryTaxonomy code 292200000X
License
1801-78 Issued in MS
Legal business name
CARY CHRISTIAN DENTAL CLINIC
Practice address
154 Cottonwood St.
Cary, MS 39054
Phone
(662) 873-4593
NPI assigned
Jun 12, 2012
Last updated
Jun 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ollie Hardaway Jr.NPI 1063539138
Title
Dentist
Phone
(601) 529-5196

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Laboratory 292200000X 1801-78 MS Primary

Addresses

Primary practice location

154 Cottonwood St.
Cary, MS 39054

Mailing address

PO Box 57
Cary, MS 39054-0057

National Provider Directory

National Provider Directory
Tax ID family
Cary Christian Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1447512728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57",
            "city": "CARY",
            "state": "MS",
            "postal_code": "390540057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 COTTONWOOD ST.",
            "city": "CARY",
            "state": "MS",
            "postal_code": "39054",
            "telephone_number": "662-873-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARY CHRISTIAN DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "HARDAWAY",
        "authorized_official_first_name": "OLLIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "601-529-5196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": "MS",
            "license": "1801-78",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.