Organization Active NPI

Albert J. Singletary, Inc

  • General Practice Dentistry
  • Crystal Springs, MS
National Provider Identifier
1467554378
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2035-83 Issued in MS
Legal business name
ALBERT J. SINGLETARY, INC
Practice address
707 West Georgetown St.
Crystal Springs, MS 39059
Phone
(601) 892-3444
Fax
(601) 892-4778
NPI assigned
Sep 1, 2006
Last updated
Sep 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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

Authorized official

Name
Dr. Albert Jesse Singletary, DMDNPI 1659464741
Title
President
Phone
(601) 892-3444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 203583 MS
General Practice Dentistry 1223G0001X 2035-83 MS Primary

Addresses

Primary practice location

707 West Georgetown St.
Crystal Springs, MS 39059

Mailing address

707 West Georgetown St.
Crystal Springs, MS 39059
Phone (601) 892-3444

Other identifiers 1

IdentifierTypeStateIssuer
09015912MedicaidMS

National Provider Directory

National Provider Directory

Locations

707 W Georgetown St
Crystal Springs, MS 39059
Phone (601) 892-3444

Practitioners & affiliated clinicians

Practitioners 2

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": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1467554378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 WEST GEORGETOWN ST.",
            "city": "CRYSTAL SPRINGS",
            "state": "MS",
            "postal_code": "39059",
            "telephone_number": "601-892-3444",
            "fax_number": "601-892-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 WEST GEORGETOWN ST.",
            "city": "CRYSTAL SPRINGS",
            "state": "MS",
            "postal_code": "39059",
            "telephone_number": "601-892-3444",
            "fax_number": "601-892-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT J. SINGLETARY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "SINGLETARY",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "JESSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-892-3444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "203583",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "2035-83",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015912",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.