Northeast Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

NORTHEAST DENTAL

Practice address

865 Pear Orchard Road
Ridgeland, MS 39157

Phone

(601) 956-4007

Fax

(601) 956-2901

NPI assigned

Aug 23, 2007

Last updated

Aug 23, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. C. David West, D.D.S.

Title

Co-Owner

Phone

(601) 956-4007

Specialties & licenses 1

Addresses

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.

• C. David West, D.D.S.

  • Dentist
  • Ridgeland, MS
  • NPI 1639269095
  NPD (past)

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1750574695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 PEAR ORCHARD ROAD",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "39157",
            "telephone_number": "601-956-4007",
            "fax_number": "601-956-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 PEAR ORCHARD ROAD",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "39157",
            "telephone_number": "601-956-4007",
            "fax_number": "601-956-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "C. DAVID",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "601-956-4007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jada Kierra Nichols, APRN, FNP-BC
• Justin Nichols, PT
• Sarah Nickelson, SLP
• NN Horton PHD MHP LLC
• Northeast Chiropractic Clinic, Inc.
• Northstar Healthcare-Beta LLC
• Billy John Norton, PTA
• Nourish and Nurture: Maternal and Newborn Health Consultants
• Burin Nuchniyom, M.D.
• Apryl Renee Null, CFY-SLP

• Dentist in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.