Pine Belt Sleep PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

335305 Issued in MS

Legal business name

PINE BELT SLEEP PLLC

Practice address

6654 U S Highway 98
Hattiesburg, MS 39402-7936

Phone

(601) 264-5756

NPI assigned

Aug 19, 2016

Last updated

Aug 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Strong Henderson IV, D.M.D.NPI 1194932608

Title

Owner

Phone

(601) 264-5756

Specialties & licenses 1

Addresses

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.

• James Strong Henderson IV, D.M.D.

  • Dentist
  • Hattiesburg, MS
  • NPI 1194932608
  NPD (past) Authorized official

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1477008431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6654 U S HIGHWAY 98",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394027936",
            "telephone_number": "601-264-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6654 U S HIGHWAY 98",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394027936",
            "telephone_number": "601-264-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE BELT SLEEP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "STRONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-264-5756",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "335305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarissa Pilgram
• Matthew Pilo, DPT
• Pine Belt Anesthesia, LLC
• Pine Belt Chiropractic Inc
• Pine Belt Periodontics, PLLC
• Pine Belt Therapy Services, LLC
• Pine Belt Voice and Swallowing
• Pine View Area, LLC (Pilgrim's Rest Hospice)
• Robert F Pinson, CRNA
• Caly Piper

• Dentist in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.