NPIMap

Organization Active NPI

Highfive Endodontics Mississippi, PLLC

  • Endodontics
  • Ridgeland, MS
National Provider Identifier
1972365500
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
HIGHFIVE ENDODONTICS MISSISSIPPI, PLLC
Practice address
301 Northlake Ave Ste 111
Ridgeland, MS 39157-1720
Phone
(601) 856-6364
Fax
(601) 856-7545
NPI assigned
Jan 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Dr. Jeffery Brian Pride, DMDNPI 1881806354
Title
Owner / Endodontist
Phone
(601) 856-6364

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

301 Northlake Ave Ste 111
Ridgeland, MS 39157-1720

Mailing address

301 Northlake Ave Ste 111
Ridgeland, MS 39157-1720
Phone (601) 856-6364

Other practice location 1

1390 W Government St
Brandon, MS 39042-3272
Phone (601) 824-2636

Other practice location 2

1002 Mission Park Dr
Vicksburg, MS 39180-3735
Phone (601) 630-0202

Other names 1

  • Endodontic Associates, PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

1390 W Government St
Brandon, MS 39042
Phone (601) 824-2636

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1972365500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 NORTHLAKE AVE STE 111",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571720",
            "telephone_number": "601-856-6364",
            "fax_number": "601-856-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NORTHLAKE AVE STE 111",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571720",
            "telephone_number": "601-856-6364",
            "fax_number": "601-856-7545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1390 W Government St",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "MS",
            "postal_code": "390423272",
            "country_code": "US",
            "telephone_number": "601-824-2636",
            "fax_number": "601-856-7545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1002 Mission Park Dr",
            "address_purpose": "LOCATION",
            "city": "Vicksburg",
            "state": "MS",
            "postal_code": "391803735",
            "country_code": "US",
            "telephone_number": "601-630-0202",
            "fax_number": "601-856-7545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HIGHFIVE ENDODONTICS MISSISSIPPI, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "PRIDE",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER / ENDODONTIST",
        "authorized_official_telephone_number": "601-856-6364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endodontic Associates, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.