Joandrea T Dockins, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2819-94 Issued in MS

Practice address

500I E Woodrow Wilson Ave
Jackson, MS 39216-4538

Phone

(601) 982-0048

Fax

(601) 982-0388

NPI assigned

Oct 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1598849291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500I E WOODROW WILSON AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164538",
            "telephone_number": "601-982-0048",
            "fax_number": "601-982-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500I E WOODROW WILSON AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164538",
            "telephone_number": "601-982-0048",
            "fax_number": "601-982-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCKINS",
        "first_name": "JOANDREA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "2819-94",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07134218",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda DO, M.D.
• Kimberly Dobbs, M.D.
• Brandon Dobson, LCSW
• Dockins Denatll, LLC
• Dockins Dental LLC
• Isaac Matthew Emmanuel Dodd, MD
• Theresa Doddato, RN, PH.D
• Ali Dodge-Khatami, MD
• Joseph Edward Doherty, MD
• Michael Doherty, MD

• Dentist in Jackson, MS
• Providers in Jackson, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.