Active NPI
Angela Paige Pennington, DMD
- Dentist
- Pontotoc, MS
National Provider Identifier
1992860753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 262991
- Practice address
- 29 Maggie Drive
Pontotoc, MS 38863 - Phone
- (662) 488-9905
- Fax
- (662) 488-0020
- NPI assigned
- Dec 22, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 262991 | MS | Primary |
Addresses
Primary practice location
29 Maggie Drive
Pontotoc, MS 38863
Mailing address
29 Maggie Drive
Pontotoc, MS 38863
Phone (662) 488-9905
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 |
|---|---|---|---|
| 262991 | MS | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John a. Collier,, D.D.S., P.a. | Past | Accepting new patients | |
| Pontotoc Family Dental PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Oxford, MS
- NPI 1477825636
-
- General Practice Dentistry
- Pontotoc, MS
- NPI 1164941936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992860753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 MAGGIE DRIVE",
"city": "PONTOTOC",
"state": "MS",
"postal_code": "38863",
"telephone_number": "662-488-9905",
"fax_number": "662-488-0020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 MAGGIE DRIVE",
"city": "PONTOTOC",
"state": "MS",
"postal_code": "38863",
"telephone_number": "662-488-9905",
"fax_number": "662-488-0020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNINGTON",
"first_name": "ANGELA",
"middle_name": "PAIGE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MS",
"license": "262991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pontotoc, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.