Organization Active NPI

Douglas Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Meridian, MS
National Provider Identifier
1578868188
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3022-97 Issued in MS
Legal business name
DOUGLAS ORTHODONTICS
Practice address
1603 23Rd Ave
Meridian, MS 39301-3102
Phone
(601) 485-4522
Fax
(601) 485-9925
NPI assigned
Jan 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Authorized official

Name
Faith Gaskins
Title
Insurance Planning Manager
Phone
(877) 875-7408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 3022-97 MS Primary

Addresses

Primary practice location

1603 23Rd Ave
Meridian, MS 39301-3102

Mailing address

1603 23Rd Ave
Meridian, MS 39301-3102
Phone (601) 485-4522

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1578868188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 23RD AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013102",
            "telephone_number": "601-485-4522",
            "fax_number": "601-485-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 23RD AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013102",
            "telephone_number": "601-485-4522",
            "fax_number": "601-485-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "INSURANCE PLANNING MANAGER",
        "authorized_official_telephone_number": "877-875-7408"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MS",
            "license": "3022-97",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.