Individual provider Active NPI

Mi Suk Arms I

  • Dental Assistant
  • Fort Benning, GA
National Provider Identifier
1932852910
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AssistantTaxonomy code 126800000X
Practice address
6976 Old Cusseta Rd BLDG 4202
Fort Benning, GA 31905-5431
Phone
(706) 544-3176
NPI assigned
Jan 31, 2022
Last updated
Jan 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Assistant 126800000X Primary

Addresses

Primary practice location

6976 Old Cusseta Rd BLDG 4202
Fort Benning, GA 31905-5431

Mailing address

6976 Old Cusseta Rd BLDG 4202
Fort Benning, GA 31905-5431
Phone (706) 544-3176

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

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1932852910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6976 OLD CUSSETA RD BLDG 4202",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319055431",
            "telephone_number": "706-544-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6976 OLD CUSSETA RD BLDG 4202",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319055431",
            "telephone_number": "706-544-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMS",
        "first_name": "MI",
        "middle_name": "SUK",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Benning, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.