Organization Active NPI

Dr. Benjamin J. Hodges and Associates, P.a.

  • General Practice Dentistry
  • Bay Springs, MS
National Provider Identifier
1972717858
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
323502 Issued in MS
Legal business name
DR. BENJAMIN J. HODGES AND ASSOCIATES, P.A.
Practice address
2683 Hwy. 15
2683 Hwy. 15
Bay Springs, MS 39422
Phone
(601) 764-2745
Fax
(601) 764-3487
NPI assigned
May 9, 2007
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
Dr. Benjamin J. Hodges, D.M.D.
Title
General Dentistry
Phone
(601) 764-2745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 323502 MS Primary

Addresses

Primary practice location

2683 Hwy. 15
2683 Hwy. 15
Bay Springs, MS 39422

Mailing address

2683 Highway 15 South
P. O. Box 1480
Bay Springs, MS 39422
Phone (601) 764-2745

Other identifiers 1

IdentifierTypeStateIssuer
08878360MedicaidMS

National Provider Directory

National Provider Directory

Locations

2683 Highway 15
Bay Springs, MS 39422
Phone (601) 452-6406

Practitioners & affiliated clinicians

Practitioners 1

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": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972717858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2683 HIGHWAY 15 SOUTH",
            "address_2": "P. O. BOX 1480",
            "city": "BAY SPRINGS",
            "state": "MS",
            "postal_code": "39422",
            "telephone_number": "601-764-2745",
            "fax_number": "601-764-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2683 HWY. 15",
            "address_2": "2683 HWY. 15",
            "city": "BAY SPRINGS",
            "state": "MS",
            "postal_code": "39422",
            "telephone_number": "601-764-2745",
            "fax_number": "601-764-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BENJAMIN J. HODGES AND ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "GENERAL DENTISTRY",
        "authorized_official_telephone_number": "601-764-2745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "323502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08878360",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Springs, 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.