NPIMap

Organization Active NPI

Wa Thames DMD PLLC

  • General Practice Dentistry
  • Olive Branch, MS
National Provider Identifier
1043423841
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2182 85 Issued in MS
Legal business name
WA THAMES DMD PLLC
Practice address
9035 E Sandidge Rd
Suite 100
Olive Branch, MS 38654-3520
Phone
(662) 895-7338
Fax
(662) 895-7040
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Authorized official

Name
Stephani Paige Hawkins
Title
Office Administrator
Phone
(662) 895-7338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2182 85 MS Primary

Addresses

Primary practice location

9035 E Sandidge Rd
Suite 100
Olive Branch, MS 38654-3520

Mailing address

9035 E Sandidge Rd
Suite 100
Olive Branch, MS 38654-3520
Phone (662) 895-7338

Other names 1

  • Thames Family Dentistry PLLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1043423841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9035 E SANDIDGE RD",
            "address_2": "SUITE 100",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386543520",
            "telephone_number": "662-895-7338",
            "fax_number": "662-895-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9035 E SANDIDGE RD",
            "address_2": "SUITE 100",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386543520",
            "telephone_number": "662-895-7338",
            "fax_number": "662-895-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WA THAMES DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "STEPHANI",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "662-895-7338"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "2182 85",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thames Family Dentistry PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olive Branch, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.