Christina L Dial, D.O.

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

18187 Issued in MS

Practice address

230 Trace Colony
Ridgeland, MS 39157-8810

Phone

(601) 936-8999

Fax

(601) 936-0088

NPI assigned

Oct 2, 2006

Last updated

Jul 10, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AGBHAA/Endpoint/AGBHAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christina L. Dial, D.O. PLLC

  dba Breast Care Clinic of Jackson

  • Surgery Physician
  • Flowood, MS
  • NPI 1124193354
  Authorized official Same address or phone
• CLD Medical Enterprises PLLC

  • Surgical Oncology Physician
  • Ridgeland, MS
  • NPI 1740798503
  Authorized official Same address or phone
• Kennestone Hospital, Inc

  dba Wellstar Kennestone Hospital Inpatient Psych Unit

  • Psychiatric Hospital Unit
  • Atlanta, GA
  • NPI 1689361438
  NPD (past)
• The Philip Israel Breast Center, P.C.

  • Surgery Physician
  • Marietta, GA
  • NPI 1942310917

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1801989439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1066",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391581066",
            "telephone_number": "601-813-8133",
            "fax_number": "601-936-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 TRACE COLONY",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391578810",
            "telephone_number": "601-936-8999",
            "fax_number": "601-936-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAL",
        "first_name": "CHRISTINA",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "18187",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "MS",
            "license": "18187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00480330",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Burnham Denson, LCSW
• Racolesha Raequel Denson, FNP-C
• Dermatology Consultants, PLLC
• Jeremy W Descombes Sr., PTA
• DGS Management Group, LLC (Assist At Home Personal Care)
• Mallory Dickard
• Diva Weight Loss LLC (b/ba Performance Weight Loss and MediSpa)
• Catherine Dixon
• Maronda Dixon, PHARM D
• Jerrilyn Dixson

• Surgical Oncology Physician in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Surgical Oncology Physician in Mississippi

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