Organization Active NPI

Charles E Atkins, Jr DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tupelo, MS
National Provider Identifier
1952430878
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
1284-07 Issued in MS
Legal business name
CHARLES E ATKINS, JR DMD
Practice address
499 Gloster Creek VLG
Ste F-8N
Tupelo, MS 38801-4600
Phone
(662) 678-1028
Fax
(662) 678-1024
NPI assigned
Mar 5, 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
Tori Mordecai
Title
Office Manager
Phone
(662) 329-3931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 1284-07 MS Primary

Addresses

Primary practice location

499 Gloster Creek VLG
Ste F-8N
Tupelo, MS 38801-4600

Mailing address

137 Plantation Dr
Columbus, MS 39705-1138
Phone (662) 329-3931

National Provider Directory

National Provider Directory
Tax ID family
Charles E Atkins Jr DMD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

499 Gloster Creek Vlg
Ste F8N
Tupelo, MS 38801
Phone (662) 678-1028

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952430878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 PLANTATION DR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051138",
            "telephone_number": "662-329-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 GLOSTER CREEK VLG",
            "address_2": "STE F-8N",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014600",
            "telephone_number": "662-678-1028",
            "fax_number": "662-678-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES E ATKINS, JR DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORDECAI",
        "authorized_official_first_name": "TORI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "662-329-3931"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MS",
            "license": "1284-07",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, 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.