Active NPI
James D. Neaves DDS PA
- General Practice Dentistry
- Kosciusko, MS
National Provider Identifier
1669523924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1465-71
- 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 DirectoryLocations
207 N Huntington St
Kosciusko, MS 39090
Phone (662) 289-2771
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1465-71 | MS | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00061903 | Medicaid | MS |
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.