Organization Active NPI

Integrity Dental Clinic, PLLC

  • Dental Clinic/Center
  • Flowood, MS
National Provider Identifier
1821592734
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
INTEGRITY DENTAL CLINIC, PLLC
Practice address
201 E Layfair Dr Ste 100
Flowood, MS 39232-7604
Phone
(601) 487-2312
Fax
(601) 487-2555
NPI assigned
Mar 23, 2018
Last updated
Mar 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Authorized official

Name
Dr. Douglas G Rummells Jr., DMD
Title
Owner
Phone
(601) 487-2312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

201 E Layfair Dr Ste 100
Flowood, MS 39232-7604

Mailing address

201 E Layfair Dr Ste 100
Flowood, MS 39232-7604
Phone (601) 487-2312

National Provider Directory

National Provider Directory

Locations

201 E Layfair Dr
Ste 100
Flowood, MS 39232
Phone (601) 487-2312

NPI Registry JSON

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521763200000",
    "number": "1821592734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E LAYFAIR DR STE 100",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327604",
            "telephone_number": "601-487-2312",
            "fax_number": "601-487-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E LAYFAIR DR STE 100",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327604",
            "telephone_number": "601-487-2312",
            "fax_number": "601-487-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY DENTAL CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "status": "A",
        "authorized_official_last_name": "RUMMELLS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-487-2312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; 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.