Columbia Family Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

COLUMBIA FAMILY DENTAL LLC

Practice address

430 Broad St
Columbia, MS 39429-3006

Phone

(601) 543-6510

NPI assigned

Nov 7, 2018

Last updated

Nov 7, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

MICHAEL C HUMPHREYSAs reported in NPPES

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

Authorized official

Name

Mrs. Tammy Lowry

Title

Office Manager

Phone

(601) 543-6510

Specialties & licenses 1

Addresses

Other names 1

• Humphreys Family Dental Former legal business name

Part of

Columbia Family Dental LLC

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1912475922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 BROAD ST",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394293006",
            "telephone_number": "601-543-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 BROAD ST",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394293006",
            "telephone_number": "601-543-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA FAMILY DENTAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHAEL C HUMPHREYS",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "LOWRY",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "601-543-6510",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Humphreys Family Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Children's International, LLC
• Cody Caston Choate, D.O.
• Steven Alan Clement, D.M.D.
• Columbia Community Care Center LLC (The Myrtles Nursing Center)
• Columbia Discount Drugs, Inc
• Columbia Pediatris, P.C.
• Columbia Rehabilitation and Healthcare Center, LLC
• Columbia Rehabilitation LLC
• Columbia School District
• Compassionate Heart Personal Care & Respite Services LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.