NPIMap

Organization Active NPI

Metro Discount Dental Clinic

Doing business as Metro Family Dental Care, P.A.

  • Dentist
  • Meridian, MS
National Provider Identifier
1487757027
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1605-74 Issued in MS
Legal business name
METRO DISCOUNT DENTAL CLINIC
Doing business as
Metro Family Dental Care, P.A.
Practice address
2310-4TH Street
Suite B
Meridian, MS 39301
Phone
(601) 693-4878
Fax
(601) 693-4337
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Mrs. Minnie P. Hunter, BUS. ADMIN.
Title
Bus. Admin.
Phone
(601) 693-4878

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 160574 MS
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 1605-74 MS Primary

Addresses

Primary practice location

2310-4TH Street
Suite B
Meridian, MS 39301

Mailing address

2310-4TH Street
Ste B
Meridian, MS 39301
Phone (601) 693-4878

Other identifiers 1

IdentifierTypeStateIssuer
09202773MedicaidMS

Other names 1

  • Metro Family Dental Care, P.A. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1487757027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310-4TH STREET",
            "address_2": "STE B",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "39301",
            "telephone_number": "601-693-4878",
            "fax_number": "601-693-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310-4TH STREET",
            "address_2": "SUITE B",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "39301",
            "telephone_number": "601-693-4878",
            "fax_number": "601-693-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO DISCOUNT DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "MINNIE",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "BUS. ADMIN.",
        "authorized_official_telephone_number": "601-693-4878",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BUS. ADMIN."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MS",
            "license": "160574",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MS",
            "license": "1605-74",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09202773",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Family Dental Care, P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.