JAMES A NICHOLSON DDS PA (NPI# 1750596938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750596938 |
| Entity Type | Organization |
| Organization Name | JAMES A NICHOLSON DDS PA |
| Practice Address |
120 South 28th Avenue Hattiesburg MS 39465 |
| Practice Telephone | 6012681111 |
| Practice Fax Number | 6012682888 |
| Mailing Telephone | 6012681111 |
| Mailing Fax Number | 6012682888 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JAMES A NICHOLSON (ORTHODONTIST) |
| Authorized Official Telephone | 6012681111 |
| Authorized Official Credential | DDS MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
6863 | MS | Dental Providers |
| X | 122300000X | Dentist | 194181 | MS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 04682721 | 05 |
| Street Address |
120 SOUTH 28TH AVENUE |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962674655 | James A Nicholson | Dentist | 120 South 28th Avenue, Hattiesburg, MS 39401 | 2008-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164055489 | R&p Elite Services, LLC | Private Vehicle | 68 Springfield Rd., Petal, MS 39465 | 2020-02-14 |
| 1003460544 | Hayden White | Pharmacist | 36 Byrd Dr., Petal, MS 39465 | 2019-08-01 |
| 1134612971 | Chandler Mccarley Hawkins | Dentist | 1115 Evelyn Gandy Parkway, Petal, MS 39465 | 2018-06-06 |
| 1881199818 | Lauren O'neal Garner | Nurse Practitioner | 36 Stadium Drive, Petal, MS 39465 | 2018-03-30 |
| 1700036928 | Petal School District | Registered Nurse | 60 Herrington Road, Petal, MS 39465 | 2008-09-24 |
| 1962679043 | Hattiesburg Eye Clinic Pa | Optometrist | 1223 Hwy 42, Ste 140, Petal, MS 39465 | 2008-05-08 |
| 1023228640 | Noal Baxter Cochran | Marriage & Family Therapist | 80 Lakeland Circle, Petal, MS 39465 | 2007-05-23 |
| 1356563605 | Petal School District | Registered Nurse | 400 Hillcrest Loop, Petal, MS 39465 | 2007-05-03 |
| 1154480804 | Mary E Thomsen | Orthotic Fitter | 173 Cherry Oak Trail, Petal, MS 39465 | 2006-12-08 |
| 1588608509 | Robert Michael Weaver | Family Medicine | 1146 Evelyn Gandy Pkwy, Petal, MS 39465 | 2006-06-16 |
| Find all providers in zip 39465 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689157588 | Hop Orthodontics | Dentist | 120 S 28th Ave, Hattiesburg, MS 39401-7151 | 2018-09-07 |
| 1114414802 | Magnolia Orthodontics | Dentist | 4348 Lincoln Road, Hattiesburg, MS 39402 | 2018-04-18 |
| 1366822397 | Suzanna Ellzey Nida | Dentist | 4348 Lincoln Rd., Hattiesburg, MS 39402 | 2015-06-04 |
| 1346487105 | Smiles Ahead, P.C. | Dentist | 7127 U S Highway 98, Suite 10, Hattiesburg, MS 39402-8452 | 2009-01-15 |
| 1124201074 | Christy Dryden Head | Dentist | 7117 Us Hwy 98 West, Suite 10, Hattiesburg, MS 39402 | 2007-12-14 |
| 1124248240 | Dennis Lee Granberry | Dentist | #9 Professional Parkway, Hattiesburg, MS 39402 | 2007-04-30 |
| 1750505251 | Juliana Cran Henderson | Dentist | 704 S 28th Ave, Suite 20, Hattiesburg, MS 39402-2524 | 2007-04-13 |
| 1548347693 | Martin Hathorn Baker Jr. | Dentist | 6504 Highway 98, Ste G, Hattiesburg, MS 39402 | 2006-11-01 |
| 1538389655 | James Henderson | Dentist | #9 Professional Parkway, Hattiesburg, MS 39402 | 2007-04-30 |
| 1083832422 | Hattiesburg Orthodontics Pllc | Dentist | 704 S 28th Ave, Suite 20, Hattiesburg, MS 39402-2524 | 2007-04-23 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39465 |
Please comment or provide details below to improve the information on JAMES A NICHOLSON DDS PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.