Individual provider Active NPI

Albert Jesse Singletary, DMD

  • General Practice Dentistry
  • Crystal Springs, MS
National Provider Identifier
1659464741
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2035-83 Issued in MS
Practice address
707 West Georgetown St.
Crystal Springs, MS 39059
Phone
(601) 892-3444
Fax
(601) 892-4778
NPI assigned
Oct 2, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2035 83 MS
General Practice Dentistry 1223G0001X 2035-83 MS Primary

Addresses

Primary practice location

707 West Georgetown St.
Crystal Springs, MS 39059

Mailing address

707 West Georgetown St.
Crystal Springs, MS 39059
Phone (601) 892-3444

Other identifiers 1

IdentifierTypeStateIssuer
00660412MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 21, 2016 through Mar 21, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2035 83MSMDGeneral Practice Dentistry
2035-83MSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Albert J. Singletary, Inc General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1659464741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 WEST GEORGETOWN ST.",
            "city": "CRYSTAL SPRINGS",
            "state": "MS",
            "postal_code": "39059",
            "telephone_number": "601-892-3444",
            "fax_number": "601-892-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 WEST GEORGETOWN ST.",
            "city": "CRYSTAL SPRINGS",
            "state": "MS",
            "postal_code": "39059",
            "telephone_number": "601-892-3444",
            "fax_number": "601-892-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGLETARY",
        "first_name": "ALBERT",
        "middle_name": "JESSE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "2035 83",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "2035-83",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00660412",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Springs, MS

Sources for this page

Verify at the official NPI Registry.