NPIMap

Organization Active NPI

LD-Batesville, LLC

Doing business as Batesville Dental

  • Dental Clinic/Center
  • Batesville, MS
National Provider Identifier
1053992388
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LD-BATESVILLE, LLC
Doing business as
Batesville Dental
Practice address
113 Eureka St
Batesville, MS 38606-2534
Phone
(662) 563-7644
Fax
(662) 586-2995
NPI assigned
Apr 19, 2021
Last updated
Jul 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Authorized official

Name
Lauren S Daigneault, BA, MA
Title
Admin Director
Phone
(256) 783-9468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

113 Eureka St
Batesville, MS 38606-2534

Mailing address

113 Eureka St
Batesville, MS 38606-2534
Phone (662) 563-7644

Other names 2

  • Batesville Dental Doing business as
  • WAMH PLLC Former legal business name

National Provider Directory

National Provider Directory

Locations

113 Eureka St
Batesville, MS 38606
Phone (662) 563-7644

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1053992388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 EUREKA ST",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386062534",
            "telephone_number": "662-563-7644",
            "fax_number": "866-275-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 EUREKA ST",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386062534",
            "telephone_number": "662-563-7644",
            "fax_number": "662-586-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LD-BATESVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-19",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "DAIGNEAULT",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMIN DIRECTOR",
        "authorized_official_telephone_number": "256-783-9468",
        "authorized_official_credential": "BA, MA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Batesville Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WAMH PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Batesville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.