DR. ALVIN WAYNE REMBERT (NPI# 1851452080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851452080 |
| Entity Type | Individual |
| Full Name | DR. ALVIN WAYNE REMBERT |
| Credential | DMD |
| Practice Address |
1500 East Woodrow Wilson Drive Jackson MS 39216 |
| Mailing Address |
803-rutherford Drive Jackson MS 39206 |
| Practice Telephone | 6013624471 |
| Practice Fax Number | 6013683898 |
| Mailing Telephone | 6019823570 |
| Mailing Fax Number | 6016823570 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2032-83 | MS | Dental Providers |
| Street Address |
1500 EAST WOODROW WILSON DRIVE |
| City | JACKSON |
| State | MS |
| Zip Code | 39216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336173905 | Randy Scott Burke | Psychologist | 1500 East Woodrow Wilson Drive, Addictive Disorders Treatment Program (116a4), Vamc, Jackson, MS 39216 | 2006-07-10 |
| 1467607416 | Choon-man Joseph Kim | Nuclear Medicine | 1500 East Woodrow Wilson Drive, Radiology Service, G.v. Montgomery Va Medical Center, Jackson, MS 39216 | 2008-11-18 |
| 1548422967 | Sommer L Rodrigue | Speech-Language Pathologist | 1500 East Woodrow Wilson Drive, Gv Sonny Montgomery Department of Veterans Affairs, Jackson, MS 39216-5199 | 2008-06-26 |
| 1134218076 | Andre' Badelle Robinson | Occupational Therapist | 1500 East Woodrow Wilson Drive, Jackson, MS 39216-5199 | 2006-10-11 |
| 1730274887 | Department of Veterans Affairs | Dietitian, Registered | 1500 East Woodrow Wilson Drive, Jackson, MS 39216-5199 | 2006-10-04 |
| 1639263924 | Liep H Tjeng | Rehabilitation Practitioner | 1500 East Woodrow Wilson Drive, Jackson, MS 39216 | 2006-10-03 |
| 1306930680 | Cecilia D Fowler | Occupational Therapist | 1500 East Woodrow Wilson Drive, Jackson, MS 39216 | 2006-10-03 |
| 1336232529 | Jesse Ivy Garrett IIi | Pharmacist | 1500 East Woodrow Wilson Drive, Jackson, MS 39216-9765 | 2006-10-02 |
| 1871694240 | Julie Larae Robbins | Nursing Facility/Intermediate Care Facility | 1500 East Woodrow Wilson Drive, Jackson, MS 39206 | 2006-09-26 |
| 1396843694 | Ruby Ellis Denson | Nurse Practitioner | 1500 East Woodrow Wilson Drive, Jackson, MS 39216-5199 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518584952 | Katherine Olivia Hughes | Dentist | 1189 Vann Dr, Jackson, TN 38305-6098 | 2020-07-01 |
| 1144845991 | Gregory Derrick Meredith | Dentist | 190 Water St Ste 2, Jackson, OH 45640-1384 | 2020-06-08 |
| 1033771852 | Robert E Scheddin | Dentist | 2046 W County Line Rd Ste 2, Jackson, NJ 08527-2034 | 2019-07-01 |
| 1649839291 | Andrew Harris | Dentist | 4505 I-55 Frontage Rd. N, Jackson, MS 39206 | 2019-06-07 |
| 1780145912 | Dr Lashawn Steptoe Family Dentistry | Dentist | 500 E Woodrow Wilson Ave Ste N, Jackson, MS 39216-4538 | 2019-03-29 |
| 1720571334 | Christina Holy Mcrae | Dentist | 3000 Old Canton Rd Ste 515, Jackson, MS 39216-4235 | 2018-06-08 |
| 1275024192 | Brianne Elizabeth Mezo | Dentist | 1500 W Parnall Rd, Jackson, MI 49201-8660 | 2018-05-26 |
| 1407343254 | West Tennessee Dentistry Pllc | Dentist | 1108 Whitehall St, Jackson, TN 38301-3730 | 2018-04-17 |
| 1073014338 | Helping Hands of Middle & West Tennessee | Dentist | 1408 N Highland Ave Ste 101, Jackson, TN 38301-3450 | 2018-02-22 |
| 1942730429 | Patrice Nicole Griffith | Dentist | 1189 E County Line Rd Ste 1010, Jackson, MS 39211-1836 | 2017-06-15 |
| Find all providers in JACKSON | ||||
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| 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.