NPIMap

Organization Active NPI

Michael T. Tramel, D. D. S. P.a.

  • General Practice Dentistry
  • Jackson, MS
National Provider Identifier
1689816407
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
220585 Issued in MS
Legal business name
MICHAEL T. TRAMEL, D. D. S. P.A.
Practice address
2525 Lakeward Dr Ste 102
Jackson, MS 39216-4827
Phone
(601) 982-7212
NPI assigned
Mar 25, 2009
Last updated
Mar 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Authorized official

Name
Dr. Michael T Tramel, D.D.S.NPI 1073640397
Title
President
Phone
(601) 982-7212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 318301 MS
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 220585 MS Primary

Addresses

Primary practice location

2525 Lakeward Dr Ste 102
Jackson, MS 39216-4827

Mailing address

2525 Lakeward Dr Ste 102
Jackson, MS 39216-4827
Phone (601) 982-7212

National Provider Directory

National Provider Directory

Locations

2525 Lakeward Dr
Ste 102
Jackson, MS 39216
Phone (601) 982-7212

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1689816407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 LAKEWARD DR STE 102",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164827",
            "telephone_number": "601-982-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 LAKEWARD DR STE 102",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164827",
            "telephone_number": "601-982-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL T. TRAMEL, D. D. S. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "TRAMEL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-982-7212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MS",
            "license": "318301",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "220585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.