NPIMap

Organization Active NPI

Mid South Dental Center of Jackson

  • Dental Clinic/Center
  • Jackson, MS
National Provider Identifier
1508958133
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MID SOUTH DENTAL CENTER OF JACKSON
Practice address
5685 Hwy 18 West
Jackson, MS 39209
Phone
(601) 373-2404
Fax
(601) 373-4443
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Barinder Singh, BDSNPI 1326257510
Title
V.President/ Dentist Partnership
Phone
(601) 373-2404

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5685 Hwy 18 West
Jackson, MS 39209

Mailing address

5685 Hwy 18 West
Jackson, MS 39209
Phone (601) 373-2404

National Provider Directory

National Provider Directory

Locations

5685 Highway 18 W
Jackson, MS 39209
Phone (601) 373-2404

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508958133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5685 HWY 18 WEST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39209",
            "telephone_number": "601-373-2404",
            "fax_number": "601-373-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5685 HWY 18 WEST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39209",
            "telephone_number": "601-373-2404",
            "fax_number": "601-373-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID SOUTH DENTAL CENTER OF JACKSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "BARINDER",
        "authorized_official_title_or_position": "V.PRESIDENT/ DENTIST PARTNERSHIP",
        "authorized_official_telephone_number": "601-373-2404",
        "authorized_official_credential": "BDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.