Active NPI
Mississippi Periodontics and Implants PLLC
- Periodontics
- Ridgeland, MS
National Provider Identifier
1497112825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 1880-80
- Legal business name
- MISSISSIPPI PERIODONTICS AND IMPLANTS PLLC
- Practice address
- 218 West Jackson Street
Ridgeland, MS 39157 - Phone
- (601) 856-1919
- Fax
- (601) 856-1719
- NPI assigned
- Jan 15, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Patricia Caskey
- Title
- Office Manager
- Phone
- (601) 856-1919
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 3551-10 | MS | |
| Periodontics | 1223P0300X | 1880-80 | MS | Primary |
Addresses
Primary practice location
218 West Jackson Street
Ridgeland, MS 39157
Mailing address
218 W Jackson St
Ridgeland, MS 39157-2312
Phone (601) 856-1919
National Provider Directory
National Provider DirectoryLocations
218 W Jackson St
Ridgeland, MS 39157
Phone (601) 856-1919
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Periodontics
- Ridgeland, MS
- NPI 1689719486
-
- Dentist
- Ridgeland, MS
- NPI 1083926141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452816000000",
"number": "1497112825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 W JACKSON ST",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391572312",
"telephone_number": "601-856-1919",
"fax_number": "601-856-1719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 WEST JACKSON STREET",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "39157",
"telephone_number": "601-856-1919",
"fax_number": "601-856-1719"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISSISSIPPI PERIODONTICS AND IMPLANTS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-15",
"last_updated": "2016-01-15",
"status": "A",
"authorized_official_last_name": "CASKEY",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "601-856-1919",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "MS",
"license": "3551-10",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "MS",
"license": "1880-80",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgeland, MS
- Mississippi Medical Relief Care, LLC
- Mississippi Mobile Diagnostics
- Mississippi Neuropsychiatric Clinic, PLLC
- Mississippi Orofacial Pain, LLC
- Mississippi Perinatal, PLLC
- Mississippi Physicians Eyecare Group, P.C.
- Mississippi Professional Nursing Care
- Mississippi Spine and Pelvic Health Physical Therapy, LLC
- Massey Buckner Mitchell
- Amanda Mix
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.