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Mississippi Band of Choctaw Indians

Dentist in Choctaw, MS · enumerated 2007 · authorized official Phyllis Anderson, Tribal Chief.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073715579

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Registry record

Entity type Organization (Type 2)
Legal business name Mississippi Band of Choctaw Indians
Other name <Unavail>
Parent organization Mississippi Band of Choctaw Indians
Practice address 210 Hospital Cir, Choctaw, MS, 39350
Fax (601) 663-7721
Enumeration date Jun 5, 2007
Last updated in NPPES Jun 15, 2012

Taxonomy & classification

122300000X Dentist Dental Providers Primary

Authorized official

Name Phyllis Anderson
Title Tribal Chief

Other identifiers

Identifier Type State Issuer
9013488 Medicaid MS -
000010359 Other MS BC BS DENTAL PROVIDER NUM

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Mississippi Band of Choctaw Indians?
NPPES lists Phyllis Anderson (Tribal Chief) as the authorized official for this organization.
What is the NPI number for Mississippi Band of Choctaw Indians?
The NPI for Mississippi Band of Choctaw Indians is 1073715579, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-06-15.