Organization Active NPI

Joe G. Collins, D.D.S., P.a.

  • Endodontics
  • Jackson, MS
National Provider Identifier
1982818282
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
ENDO 4-77 Issued in MS
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

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
Mrs. Elizabeth A. Collins
Title
Office Manager
Phone
(601) 856-7170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.