Active NPI
Justin Starnes, DMD
- General Practice Dentistry
- Purvis, MS
National Provider Identifier
1689300501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4307-22
- Practice address
- 101 Shelby Speights Dr
Purvis, MS 39475-4094 - Phone
- (769) 456-2056
- Fax
- (769) 456-2063
- NPI assigned
- Jul 25, 2022
- Last updated
- Nov 5, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4307-22 | MS | Primary |
Addresses
Primary practice location
101 Shelby Speights Dr
Purvis, MS 39475-4094
Mailing address
101 Shelby Speights Dr
Purvis, MS 39475-4094
Phone (769) 456-2056
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4307-22 | MS | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1689300501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 SHELBY SPEIGHTS DR",
"city": "PURVIS",
"state": "MS",
"postal_code": "394754094",
"telephone_number": "769-456-2056",
"fax_number": "769-456-2063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SHELBY SPEIGHTS DR",
"city": "PURVIS",
"state": "MS",
"postal_code": "394754094",
"telephone_number": "769-456-2056",
"fax_number": "769-456-2063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARNES",
"first_name": "JUSTIN",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-25",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MS",
"license": "4307-22",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Purvis, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.