Dockins Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DOCKINS DENTAL LLC

Practice address

500I East Woodrow Wilson Ave
Jackson, MS 39216

Phone

(601) 982-0048

Fax

(601) 982-0388

NPI assigned

Nov 22, 2006

Last updated

Jun 16, 2008By 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. Joandrea T Dockins, DDSNPI 1598849291

Title

Dentist

Phone

(601) 982-0048

Specialties & licenses 1

Addresses

Tax ID family

Dockins Denatll LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dockins Denatll, LLC

  • Dentist
  • Jackson, MS
  • NPI 1023281300
  NPD tax ID

Locations

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.

• Joandrea T Dockins, DDS

  • Dentist
  • Jackson, MS
  • NPI 1598849291
  Authorized official Same address or phone

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1831264035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500I E WOODROW WILSON AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164538",
            "telephone_number": "601-982-0048",
            "fax_number": "601-982-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500I EAST WOODROW WILSON AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39216",
            "telephone_number": "601-982-0048",
            "fax_number": "601-982-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCKINS DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "DOCKINS",
        "authorized_official_first_name": "JOANDREA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "601-982-0048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Dixon
• DMN Behavioral and Counseling Group LLC
• Linda DO, M.D.
• Brandon Dobson, LCSW
• Dockins Denatll, LLC
• Joandrea T Dockins, DDS
• Isaac Matthew Emmanuel Dodd, MD
• Theresa Doddato, RN, PH.D
• Ali Dodge-Khatami, MD
• Joseph Edward Doherty, MD

• General Practice Dentistry in Jackson, MS
• Providers in Jackson, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.