Active NPI
Jack R Magee Jr., DMD
- Dentist
- Magee, MS
National Provider Identifier
1487878054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2832-94
- Practice address
- 1425 Simpson Highway 49
Magee, MS 39111 - Phone
- (601) 849-4949
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2832-94 | MS | Primary |
Addresses
Primary practice location
1425 Simpson Highway 49
Magee, MS 39111
Mailing address
PO Box 250
Magee, MS 39111-0250
Phone (601) 849-4949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2832-94 | MS | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magnolia Smiles of Magee PLLC | Past | Accepting new patients | |
| Doctor Jack R Magee DMD PA | Dentist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Magee, MS
- NPI 1962921684
-
- Dental Clinic/Center
- Magee, MS
- NPI 1710549852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487878054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 250",
"city": "MAGEE",
"state": "MS",
"postal_code": "391110250",
"telephone_number": "601-849-4949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 SIMPSON HIGHWAY 49",
"city": "MAGEE",
"state": "MS",
"postal_code": "39111",
"telephone_number": "601-849-4949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGEE",
"first_name": "JACK",
"middle_name": "R",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MS",
"license": "2832-94",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Magee, MS
- Magee Benevolent Association
- Magee Benevolent Association
- Magee Benevolent Association D/B/a Magee General Hospital
- Magee Community Care Center LLC
- Magee Family Footcare PLLC
- Magnolia Smiles of Magee PLLC
- Donna Elizabeth Martin, P.T.
- Maxem Health Urgent Care Magee
- Angela B. McCallum, FNP
- Brianna McCue, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.