Organization Active NPI

David Futrell

  • General Practice Dentistry
  • Picayune, MS
National Provider Identifier
1861696114
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DAVID FUTRELL
Practice address
814 Highway 43 N
Picayune, MS 39466-2233
Phone
(601) 798-4221
Fax
(601) 798-4241
NPI assigned
Jun 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David Futrell Edward
Title
Owner
Phone
(601) 798-4221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

814 Highway 43 N
Picayune, MS 39466-2233

Mailing address

814 Hwy 43 North
Picayune, MS 39466
Phone (601) 798-4221

National Provider Directory

National Provider Directory

Locations

814 Highway 43 N
Picayune, MS 39466
Phone (601) 798-4221

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861696114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 HWY 43 NORTH",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "39466",
            "telephone_number": "601-798-4221",
            "fax_number": "601-798-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 HIGHWAY 43 N",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394662233",
            "telephone_number": "601-798-4221",
            "fax_number": "601-798-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID FUTRELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDWARD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "FUTRELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-798-4221",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Picayune, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.