Active NPI
Michael Trent Webb
- General Practice Dentistry
- Hattiesburg, MS
National Provider Identifier
1952572034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3424-07
- Practice address
- 69 Grand JCT
Suite G
Hattiesburg, MS 39402-7974 - Phone
- (601) 450-2540
- NPI assigned
- Mar 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3424-07 | MS | Primary |
Addresses
Primary practice location
69 Grand JCT
Suite G
Hattiesburg, MS 39402-7974
Mailing address
69 Grand JCT
Suite G
Hattiesburg, MS 39402-7974
Phone (601) 450-2540
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3424-07 | MS | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205798400000",
"number": "1952572034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 GRAND JCT",
"address_2": "SUITE G",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394027974",
"telephone_number": "601-450-2540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 GRAND JCT",
"address_2": "SUITE G",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394027974",
"telephone_number": "601-450-2540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "MICHAEL",
"middle_name": "TRENT",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-18",
"last_updated": "2008-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MS",
"license": "3424-07",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.