Vivian Draper, D.D.S., M.P.H.

Primary specialty

DentistTaxonomy code 122300000X

License

3166-00 Issued in MS

Practice address

60024 Olive St
Smithville, MS 38870-9719

Phone

(662) 651-7111

Fax

(662) 651-7115

NPI assigned

Aug 31, 2006

Last updated

Dec 14, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Access Family Health Services, Inc.

  • Community/Retail Pharmacy
  • Tremont, MS
  • NPI 1124618525
  NPD (past)
• Access Family Health Services, Inc.

  dba ACCESS Family Dental Clinic

  • Federally Qualified Health Center (FQHC)
  • Smithville, MS
  • NPI 1932219524
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1841301314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2827",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388032827",
            "telephone_number": "662-840-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60024 OLIVE ST",
            "city": "SMITHVILLE",
            "state": "MS",
            "postal_code": "388709719",
            "telephone_number": "662-651-7111",
            "fax_number": "662-651-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAPER",
        "first_name": "VIVIAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "3166-00",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00660401",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Cagle, A.P.R.N., B.C.
• Sherbert V Canada-Mosby, M.S.W.
• Whitney Johnson Carroll, FNP-BC
• Joby Davis Collins, D.M.D.
• Nicholas Allen Cummings, M.D.
• Michelle George, PHARMD
• James Mark Monroe, D.O.
• Alisha Marie Parham, FNP-C
• Mariah Reichenbach, DMD
• Howard Lamar Robertson

• Dentist in Smithville, MS
• Providers in Smithville, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.