Individual provider Active NPI

Stephen James Singleton, CP

  • Prosthetist
  • Jackson, MS
National Provider Identifier
1871887653
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
1501 Issued in TX
Practice address
2 Old River PL
Suite D
Jackson, MS 39202-3435
Phone
(601) 201-5521
Fax
(601) 355-7476
NPI assigned
Jun 8, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X 1501 TX Primary

Addresses

Primary practice location

2 Old River PL
Suite D
Jackson, MS 39202-3435

Mailing address

2 Old River PL
Suite D
Jackson, MS 39202-3435
Phone (601) 201-5521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1501TXMDProsthetist

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1871887653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OLD RIVER PL",
            "address_2": "SUITE D",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392023435",
            "telephone_number": "601-201-5521",
            "fax_number": "601-355-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OLD RIVER PL",
            "address_2": "SUITE D",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392023435",
            "telephone_number": "601-201-5521",
            "fax_number": "601-355-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGLETON",
        "first_name": "STEPHEN",
        "middle_name": "JAMES",
        "credential": "CP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-08",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "TX",
            "license": "1501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.