NPIMap

Organization Active NPI

Gulf Coast Dental Center

  • Dentist
  • Gulfport, MS
National Provider Identifier
1700089810
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
MS 1781-77 Issued in MS
Legal business name
GULF COAST DENTAL CENTER
Practice address
3118 15TH St
Gulfport, MS 39501-2708
Phone
(228) 863-6413
Fax
(228) 863-6432
NPI assigned
Jun 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Roy L Irons, D.D.S.NPI 1184796021
Title
Owner
Phone
(228) 863-6413

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X MS 1781-77 MS Primary

Addresses

Primary practice location

3118 15TH St
Gulfport, MS 39501-2708

Mailing address

3118 15TH St
Gulfport, MS 39501-2708
Phone (228) 863-6413

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700089810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 15TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012708",
            "telephone_number": "228-863-6413",
            "fax_number": "228-863-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 15TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012708",
            "telephone_number": "228-863-6413",
            "fax_number": "228-863-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IRONS",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-863-6413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "MS 1781-77",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.