Stone Thames, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

3858-16 Issued in MS

Practice address

1615 Old Amy Rd
Laurel, MS 39440-2139

Phone

(601) 649-2010

Fax

(601) 649-0062

NPI assigned

Jun 13, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1033569892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 OLD AMY RD",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394402139",
            "telephone_number": "601-649-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 OLD AMY RD",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394402139",
            "telephone_number": "601-649-2010",
            "fax_number": "601-649-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAMES",
        "first_name": "STONE",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "3858-16",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tender Loving Care Homecare LLC
• Tender Touch Adult Day Services
• Anita Thames, MS CCC SLP
• Sarah Nicole Thames, FNP, MSN, RN
• Scott Freland Thames, D.M.D.
• The Oral & Maxillofacial Surgery Center, P.a.
• The Willows Behavioral Health Services
• Jhameyah J Theodore, LPN
• Therapyworks
• Thirteenth Avenue Pharmacy

• Dentist in Laurel, MS
• Providers in Laurel, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.