Active NPI
Stone Dental Clinic
- Dentist
- Wiggins, MS
National Provider Identifier
1831268374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1357-69
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00060560 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Wiggins, MS
- NPI 1821203613
-
- Dentist
- Wiggins, MS
- NPI 1134259765
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.