Active NPI
Joe G. Collins, D.D.S., P.a.
- Endodontics
- Jackson, MS
National Provider Identifier
1982818282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- ENDO 4-77
- Legal business name
- JOE G. COLLINS, D.D.S., P.A.
- Practice address
- 5903 Ridgewood Rd
Suite 220
Jackson, MS 39211-3700 - Phone
- (601) 899-3371
- Fax
- (601) 898-3993
- 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
- Mrs. Elizabeth A. Collins
- Title
- Office Manager
- Phone
- (601) 856-7170
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | ENDO 4-77 | MS | Primary |
Addresses
Primary practice location
5903 Ridgewood Rd
Suite 220
Jackson, MS 39211-3700
Mailing address
8 Sandalwood Dr
Madison, MS 39110-9252
Phone (601) 856-7170
National Provider Directory
National Provider DirectoryLocations
5903 Ridgewood Rd
Ste 220
Jackson, MS 39211
Phone (601) 899-3371
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": "1982818282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 SANDALWOOD DR",
"city": "MADISON",
"state": "MS",
"postal_code": "391109252",
"telephone_number": "601-856-7170",
"fax_number": "601-898-3993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5903 RIDGEWOOD RD",
"address_2": "SUITE 220",
"city": "JACKSON",
"state": "MS",
"postal_code": "392113700",
"telephone_number": "601-899-3371",
"fax_number": "601-898-3993"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOE G. COLLINS, D.D.S., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "COLLINS",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "601-856-7170",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": "MS",
"license": "ENDO 4-77",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, 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.