Organization Active NPI

Stone Dental Clinic

  • Dentist
  • Wiggins, MS
National Provider Identifier
1831268374
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1357-69 Issued in MS
Legal business name
STONE DENTAL CLINIC
Practice address
134 Critz St N
Wiggins, MS 39577-3216
Phone
(601) 928-7901
Fax
(601) 928-2373
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Authorized official

Name
Dr. Rebecca C Courntey, D.M.D.
Title
Doctor
Phone
(601) 928-7901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 1357-69 MS Primary

Addresses

Primary practice location

134 Critz St N
Wiggins, MS 39577-3216

Mailing address

134 Critz St N
Wiggins, MS 39577-3216
Phone (601) 928-7901

Other identifiers 1

IdentifierTypeStateIssuer
00060560MedicaidMS

National Provider Directory

National Provider Directory

Locations

134 Critz St N
Wiggins, MS 39577
Phone (601) 928-7901

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1831268374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 CRITZ ST N",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395773216",
            "telephone_number": "601-928-7901",
            "fax_number": "601-928-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 CRITZ ST N",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395773216",
            "telephone_number": "601-928-7901",
            "fax_number": "601-928-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "COURNTEY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "601-928-7901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MS",
            "license": "1357-69",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00060560",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wiggins, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.