Individual provider Active NPI

James Leland Chrisman, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Tupelo, MS
National Provider Identifier
1689680266
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
MS2816-94 Issued in MS
Practice address
1043 S Madison St
Tupelo, MS 38801-6309
Phone
(662) 842-8200
Fax
(662) 844-3157
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
MS2816-94MSMDOral and Maxillofacial Surgery (Dentist)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X MS2816-94 MS Primary

Addresses

NPPES NPI Registry

Primary practice location

1043 S Madison St
Tupelo, MS 38801-6309

Mailing address

1043 S Madison St
Tupelo, MS 38801-6309
Phone (662) 842-8200

Other practice location 1

2718 W Oxford Loop Ste 185
Oxford, MS 38655-5729
Phone (662) 254-9677

Other practice location 2

611 Alcorn Dr Ste 220
Corinth, MS 38834-9323
Phone (662) 287-8299

Other practice location 3

5779 Getwell Rd Ste 4
Southaven, MS 38672-6347
Phone (662) 996-1100

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0660076MedicaidMS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 18, 2026.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1689680266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 S MADISON ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016309",
            "telephone_number": "662-842-8200",
            "fax_number": "662-844-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 S MADISON ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016309",
            "telephone_number": "662-842-8200",
            "fax_number": "662-844-3157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2718 W Oxford Loop Ste 185",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "386555729",
            "country_code": "US",
            "telephone_number": "662-254-9677",
            "fax_number": "662-729-9456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "611 Alcorn Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Corinth",
            "state": "MS",
            "postal_code": "388349323",
            "country_code": "US",
            "telephone_number": "662-287-8299",
            "fax_number": "662-286-8789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5779 Getwell Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386726347",
            "country_code": "US",
            "telephone_number": "662-996-1100",
            "fax_number": "662-996-1101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISMAN",
        "first_name": "JAMES",
        "middle_name": "LELAND",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MS",
            "license": "MS2816-94",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0660076",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.