NPIMap

Organization Active NPI

PFD LLC

  • Dentist
  • Gulfport, MS
National Provider Identifier
1558816181
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3305-04 Issued in MS
Legal business name
PFD LLC
Practice address
412 Security SQ
Gulfport, MS 39507-1952
Phone
(228) 896-6321
Fax
(228) 896-6322
NPI assigned
Aug 24, 2016
Last updated
Jul 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Authorized official

Name
Jason PapaniaNPI 1245333483
Title
Owner
Phone
(228) 234-6321

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
Dentist 122300000X 3305-04 MS Primary

Addresses

Primary practice location

412 Security SQ
Gulfport, MS 39507-1952

Mailing address

412 Security SQ
Gulfport, MS 39507-1952
Phone (228) 896-6321

Other identifiers 1

IdentifierTypeStateIssuer
04524749MedicaidMS

National Provider Directory

National Provider Directory

Locations

412 Security Sq
Gulfport, MS 39507
Phone (228) 896-6321

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1558816181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 SECURITY SQ",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395071952",
            "telephone_number": "228-896-6321",
            "fax_number": "228-896-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 SECURITY SQ",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395071952",
            "telephone_number": "228-896-6321",
            "fax_number": "228-896-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PFD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "PAPANIA",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-234-6321"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "3305-04",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04524749",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.