Organization Active NPI

James D. Neaves DDS PA

  • General Practice Dentistry
  • Kosciusko, MS
National Provider Identifier
1669523924
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1465-71 Issued in MS
Legal business name
JAMES D. NEAVES DDS PA
Practice address
207 N Huntington St
Kosciusko, MS 39090-3351
Phone
(662) 289-2771
Fax
(662) 289-2771
NPI assigned
Jan 15, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. James David Neaves
Title
Owner
Phone
(662) 289-2771

National Provider Directory

National Provider Directory

Locations

207 N Huntington St
Kosciusko, MS 39090
Phone (662) 289-2771

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 1465-71 MS Primary

Addresses

NPPES NPI Registry

Primary practice location

207 N Huntington St
Kosciusko, MS 39090-3351

Mailing address

207 N Huntington St
Kosciusko, MS 39090-3351
Phone (662) 289-2771

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
00061903MedicaidMS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 27, 2012.

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1669523924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N HUNTINGTON ST",
            "city": "KOSCIUSKO",
            "state": "MS",
            "postal_code": "390903351",
            "telephone_number": "662-289-2771",
            "fax_number": "662-289-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N HUNTINGTON ST",
            "city": "KOSCIUSKO",
            "state": "MS",
            "postal_code": "390903351",
            "telephone_number": "662-289-2771",
            "fax_number": "662-289-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES D. NEAVES DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "NEAVES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-289-2771",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "1465-71",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00061903",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kosciusko, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.