Active NPI
Nick Earl Alexander, DMD
- Dentist
- Booneville, MS
National Provider Identifier
1982856183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2527-90
- Practice address
- 101 Cunningham Blvd
Northeast Ms Community College
Booneville, MS 38829-1726 - Phone
- (662) 720-7283
- NPI assigned
- Oct 21, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2527-90 | MS | Primary |
Addresses
Primary practice location
101 Cunningham Blvd
Northeast Ms Community College
Booneville, MS 38829-1726
Mailing address
101 Cunningham Boulavard
Nemcc
Booneville, MS 38829-0000
Phone (662) 720-7283
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2527-90 | MS | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224547200000",
"number": "1982856183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 CUNNINGHAM BOULAVARD",
"address_2": "NEMCC",
"city": "BOONEVILLE",
"state": "MS",
"postal_code": "388290000",
"telephone_number": "662-720-7283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CUNNINGHAM BLVD",
"address_2": "NORTHEAST MS COMMUNITY COLLEGE",
"city": "BOONEVILLE",
"state": "MS",
"postal_code": "388291726",
"telephone_number": "662-720-7283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "NICK",
"middle_name": "EARL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-21",
"last_updated": "2008-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MS",
"license": "2527-90",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Booneville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.