Organization Active NPI

Smiles by Bigelow

  • General Practice Dentistry
  • Hattiesburg, MS
National Provider Identifier
1780037846
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
275993 Issued in MS
Legal business name
SMILES BY BIGELOW
Practice address
4301 Lincoln Rd
Hattiesburg, MS 39402-3036
Phone
(601) 582-1623
Fax
(601) 582-0765
NPI assigned
Jul 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Authorized official

Name
Dr. Tod A. BigelowNPI 1376762187
Title
Owner
Phone
(601) 582-1623

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 275993 MS Primary

Addresses

Primary practice location

4301 Lincoln Rd
Hattiesburg, MS 39402-3036

Mailing address

4301 Lincoln Rd
Hattiesburg, MS 39402-3036
Phone (601) 582-1623

National Provider Directory

National Provider Directory

Locations

4301 Lincoln Rd
Hattiesburg, MS 39402
Phone (601) 582-1623

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1780037846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 LINCOLN RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394023036",
            "telephone_number": "601-582-1623",
            "fax_number": "601-582-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 LINCOLN RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394023036",
            "telephone_number": "601-582-1623",
            "fax_number": "601-582-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES BY BIGELOW",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "BIGELOW",
        "authorized_official_first_name": "TOD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-582-1623",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "275993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.