Omniverse Plastikos Pa — NPI 1871724500
Omniverse Plastikos Pa’s National Provider Identifier is 1871724500. NPPES classifies this as a Type 2 organization record and reports a practice location in Ridgeland, Mississippi. The primary taxonomy is Plastic and Reconstructive Surgery Physician.
Key facts
- NPI
- 1871724500
- Entity type
- Type 2 organization
- NPPES status
- Active in the August 10, 2026 snapshot
- Practice location
- 14 PROFESSIONAL PKWY, SUITE C
Ridgeland, Mississippi 39157 - Practice telephone
- (601) 824-1492
- Primary taxonomy
- Plastic and Reconstructive Surgery Physician
- Additional taxonomies
-
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- Surgery of the Hand (Surgery) Physician
- Enumeration date
- July 29, 2009
- NPPES last update
- December 20, 2010
- Source
- CMS NPPES, NPPES Data Dissemination August 2026 V2
Questions answered by the NPPES record
What is the NPI for Omniverse Plastikos Pa?
The NPI listed for Omniverse Plastikos Pa in the NPPES snapshot is 1871724500. The number passes the NPI check-digit test and is recorded as active in that snapshot.
Is NPI 1871724500 an individual or organization record?
NPPES records NPI 1871724500 as an Entity Type 2 record, which CMS assigns to an organization health care provider.
Where is the reported practice location?
The primary practice location reported to NPPES is 14 PROFESSIONAL PKWY, SUITE C, Ridgeland, Mississippi 39157.
What taxonomy codes are listed for this NPI?
3 taxonomy codes are listed. Primary: Plastic and Reconstructive Surgery Physician (2086S0122X). Additional: Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician (2082S0099X); Surgery of the Hand (Surgery) Physician (2086S0105X). Names come from the NUCC Health Care Provider Taxonomy code set version 26.1; definitions are not reproduced.
When was the NPPES record last updated?
NPPES reports a last update date of December 20, 2010 and an enumeration date of July 29, 2009, as published in NPPES Data Dissemination August 2026 V2.
Source and data date
All facts on this page come from the Centers for Medicare & Medicaid Services (CMS) NPPES data dissemination file NPPES Data Dissemination August 2026 V2, released August 10, 2026 (snapshot date 2026-08-10). The record was reproduced from the main provider file without edits; only the fields listed on the methodology page are published.
CMS updates NPPES continuously and this page reflects a single monthly snapshot. Confirm current details in the official NPPES NPI Registry.
Directory pages
This profile is listed on the Ridgeland, Mississippi NPI directory and the Mississippi NPI directory.
Other published profiles in Ridgeland, MS
Up to ten other profiles this site publishes for Ridgeland, listed alphabetically. Appearing together here indicates only a shared reported practice city, not any affiliation or relationship. The city page lists all 43 published profiles.
- Angela Chambers
- Brittany N. Jones Dpc, Lpc, Cmht, PLLC
- Center For Integrated Behavioral Innovations, LLC
- Covenant Pharmacy LLC
- Dr. John L Henson, DMD
- Dr. Karl L. Bierdeman, DMD
- Dr. Maggie Nicole Smith, DMD
- Dr. Matthew Lane Fairburn, D.M.D.
- Fearless Beauty Company
- Flowood River Oaks Hma Medical Group, LLC
Independent service disclaimer
This directory is an independent, experimental publication of public NPPES fields. It is not affiliated with or endorsed by CMS, NPPES, Medicare, the American Medical Association, or the National Uniform Claim Committee. An NPI is an administrative identifier. Its presence here does not establish that a provider is licensed, credentialed, board certified, in good standing, accepting patients or insurance, employed by or affiliated with any organization, or currently practicing. Nothing on this page is medical, legal, or insurance advice.