NPIMap

Organization Active NPI

Doctor Jack R Magee DMD PA

Doing business as Magee Family Dental Care

  • Dentist
  • Magee, MS
National Provider Identifier
1962921684
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DOCTOR JACK R MAGEE DMD PA
Doing business as
Magee Family Dental Care
Practice address
1425 Simpson Highway 49
Magee, MS 39111-4210
Phone
(601) 849-4949
Fax
(601) 849-9051
NPI assigned
Sep 13, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Claudette Weldon
Title
Office Manager
Phone
(601) 849-4949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

1425 Simpson Highway 49
Magee, MS 39111-4210

Mailing address

PO Box 250
Magee, MS 39111-0250
Phone (601) 849-4949

Other practice location 1

1425 Simpson Highway 49
Magee, MS 39111-4210
Phone (601) 849-4949

Other names 1

  • Magee Family Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

1425 Simpson Highway 49
Magee, MS 39111
Phone (601) 849-4949

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1962921684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391110250",
            "telephone_number": "601-849-4949",
            "fax_number": "601-849-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 SIMPSON HIGHWAY 49",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391114210",
            "telephone_number": "601-849-4949",
            "fax_number": "601-849-9051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 Simpson Highway 49",
            "address_purpose": "LOCATION",
            "city": "Magee",
            "state": "MS",
            "postal_code": "391114210",
            "country_code": "US",
            "telephone_number": "601-849-4949",
            "fax_number": "601-849-9051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOCTOR JACK R MAGEE DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "WELDON",
        "authorized_official_first_name": "CLAUDETTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "601-849-4949"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magee Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Magee, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.