Active NPI
Dr. Benjamin J. Hodges and Associates, P.a.
- General Practice Dentistry
- Bay Springs, MS
National Provider Identifier
1972717858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 323502
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08878360 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Bay Springs, MS
- NPI 1902802655
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.