Jcc, LLC
Jcc, LLC is a healthcare organization registered as Pediatric Dentistry in Hernando, MS, holding Type 2 (organization) NPI 1669850004 since 2015. The authorized official on file is Jason Coleman, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1669850004 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jcc, LLC |
| Other name | <Unavail> |
| Practice address | 1150 MONTEITH AVENUE, SUITE 102, Hernando, MS, 38632 |
| Phone | 6622982095 |
| Enumeration date | 2015-05-18 |
| Last updated in NPPES | 2015-05-18 |
Authorized official
| Name | Jason Coleman |
|---|---|
| Title | Owner |
| Phone | 6622982095 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223P0221X | Pediatric Dentistry | Primary | PEDO 359 02 | MS |
Copy-ready billing details
Provider: Jcc, LLC NPI: 1669850004 Taxonomy: 1223P0221X (Pediatric Dentistry) Address: 1150 MONTEITH AVENUE, SUITE 102, Hernando, MS, 38632
Verify this record
Cross-check NPI 1669850004 against the authoritative CMS record: view Jcc, LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Jcc, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-05-18.