NPIMap

Organization Active NPI

LD-Columbus, LLC

Doing business as Bright Smiles Dental Two

  • Dental Clinic/Center
  • Columbus, MS
National Provider Identifier
1710754775
Registry record updated Dec 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LD-COLUMBUS, LLC
Doing business as
Bright Smiles Dental Two
Practice address
323 Hospital Dr
Columbus, MS 39705-1920
Phone
(662) 328-3833
Fax
(662) 328-3275
NPI assigned
Dec 8, 2023
Last updated
Dec 10, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
LD-COLUMBUS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2023

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

Authorized official

Name
Mrs. Lizz Daigneault
Title
Administrative Director
Phone
(662) 550-2310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

323 Hospital Dr
Columbus, MS 39705-1920

Mailing address

306 Enterprise Dr
Oxford, MS 38655-2762
Phone (662) 550-2310

Other names 1

  • Bright Smiles Dental Two Doing business as

National Provider Directory

National Provider Directory
Tax ID family
LD-Columbus LLC2 organizations share this tax ID, including this one
Part of
LD-Columbus LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

323 Hospital Dr
Columbus, MS 39705
Phone (662) 323-3833

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702166400000",
    "number": "1710754775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 ENTERPRISE DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386552762",
            "telephone_number": "662-550-2310",
            "fax_number": "833-740-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 HOSPITAL DR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051920",
            "telephone_number": "662-328-3833",
            "fax_number": "662-328-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LD-COLUMBUS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LD-COLUMBUS, LLC",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-10",
        "certification_date": "2023-12-10",
        "status": "A",
        "authorized_official_last_name": "DAIGNEAULT",
        "authorized_official_first_name": "LIZZ",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "662-550-2310",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Smiles Dental Two",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2023; 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.