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

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, DDS

Title

Dentist

Phone

(601) 982-0048

Specialties & licenses 1

Addresses

Other identifiers 1

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

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07134218",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DMN Behavioral and Counseling Group LLC
• Linda DO, M.D.
• Kimberly Dobbs, 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
• Shireen Dogar, 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.