Organization Active NPI

Joseph K Shleweet DDS, PLLC

  • Dental Clinic/Center
  • Clarksdale, MS
National Provider Identifier
1821355785
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3359-05 Issued in MS
Legal business name
JOSEPH K SHLEWEET DDS, PLLC
Practice address
526 S Choctaw St Ste B&C
Clarksdale, MS 38614-4807
Phone
(662) 627-3633
Fax
(662) 627-5655
NPI assigned
Apr 17, 2012
Last updated
May 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Authorized official

Name
Dr. Joseph K. Shleweet, D.D.S.NPI 1346291580
Title
Dentist
Phone
(662) 627-3633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3359-05 MS Primary

Addresses

Primary practice location

526 S Choctaw St Ste B&C
Clarksdale, MS 38614-4807

Mailing address

526 S Choctaw St Ste B&C
Clarksdale, MS 38614-4807
Phone (662) 627-3633

Other identifiers 1

IdentifierTypeStateIssuer
07587317MedicaidMS

National Provider Directory

National Provider Directory

Locations

526 S Choctaw St
Ste Bc
Clarksdale, MS 38614
Phone (662) 627-3633

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": "1334620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1821355785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 S CHOCTAW ST STE B&C",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386144807",
            "telephone_number": "662-627-3633",
            "fax_number": "662-627-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 S CHOCTAW ST STE B&C",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386144807",
            "telephone_number": "662-627-3633",
            "fax_number": "662-627-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH K SHLEWEET DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-17",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "SHLEWEET",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "662-627-3633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MS",
            "license": "3359-05",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07587317",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksdale, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.