NPIMap

Organization Active NPI

Doddsville Adult Day Care

  • Preferred Provider Organization
  • Doddsville, MS
National Provider Identifier
1558613505
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
NONE REQUIRED Issued in MS
Legal business name
DODDSVILLE ADULT DAY CARE
Practice address
133 Miller
Doddsville, MS 38736-8736
Phone
(662) 588-2000
Fax
(662) 756-0141
NPI assigned
Oct 15, 2012
Last updated
Oct 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Authorized official

Name
Ms. Dorothy Burton
Title
Administrator
Phone
(662) 588-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X NONE REQUIRED MS Primary

Addresses

Primary practice location

133 Miller
Doddsville, MS 38736-8736

Mailing address

PO Box 698
Ruleville, MS 38771-0698
Phone (662) 588-2000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1558613505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 698",
            "city": "RULEVILLE",
            "state": "MS",
            "postal_code": "387710698",
            "telephone_number": "662-588-2000",
            "fax_number": "662-745-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 MILLER",
            "city": "DODDSVILLE",
            "state": "MS",
            "postal_code": "387368736",
            "telephone_number": "662-588-2000",
            "fax_number": "662-756-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DODDSVILLE ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-15",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "662-588-2000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MS",
            "license": "NONE REQUIRED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doddsville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.