Organization Active NPI

Ridgeland Dental, LLC

Doing business as Ridgeland Dental

  • Dentist
  • Ridgeland, MS
National Provider Identifier
1730744715
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
RIDGELAND DENTAL, LLC
Practice address
321 Highway 51 Ste a
Ridgeland, MS 39157-3404
Phone
(601) 856-4420
NPI assigned
May 6, 2019
Last updated
May 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Authorized official

Name
Mark Metcalf
Title
Owner
Phone
(601) 856-4420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

321 Highway 51 Ste a
Ridgeland, MS 39157-3404

Mailing address

321 Highway 51 Ste a
Ridgeland, MS 39157-3404
Phone (601) 856-4420

Other names 2

  • Ridgeland Dental Other name
  • Dr. Cala Metcalf, PLLC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@ridgelanddental.com Direct

National Provider Directory

National Provider Directory

Locations

321 Highway 51
Ste A
Ridgeland, MS 39157
Phone (256) 335-7042

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": "1557100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557100800000",
    "number": "1730744715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 HIGHWAY 51 STE A",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391573404",
            "telephone_number": "601-856-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 HIGHWAY 51 STE A",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391573404",
            "telephone_number": "601-856-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGELAND DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-06",
        "last_updated": "2019-05-06",
        "status": "A",
        "authorized_official_last_name": "METCALF",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-856-4420"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@ridgelanddental.com",
            "affiliation": "N",
            "endpointDescription": "Business Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "321 Highway 51 Ste A",
            "city": "Ridgeland",
            "state": "MS",
            "country_code": "US",
            "postal_code": "391573404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ridgeland Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. Cala Metcalf, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Ridgeland Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.