Individual provider Active NPI

Adrienne Smith Ware, DDS

  • Dentist
  • Lucedale, MS
National Provider Identifier
1124504790
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4015-18 Issued in MS
Practice address
13 Plaza Dr
Lucedale, MS 39452-6095
Phone
(601) 947-9530
Fax
(601) 947-9595
NPI assigned
Jul 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4015-18 MS
Dentist 122300000X 4015-18 MS Primary

Addresses

Primary practice location

13 Plaza Dr
Lucedale, MS 39452-6095

Mailing address

2525 Timber LN
Lucedale, MS 39452-5046
Phone (985) 249-8337

Other identifiers 1

IdentifierTypeStateIssuer
1598472102OtherMSGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4015-18MSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ware Family Dental of Mississippi Dentist CurrentSince Feb 9, 2025 Accepting new patients
Dr. Ronnie Harrison P.a. General Practice PastSince Feb 9, 2025 Accepting new patients

Locations

13 Plaza Dr
Lucedale, MS 39452
Phone (601) 947-9530

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1124504790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 TIMBER LN",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394525046",
            "telephone_number": "985-249-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 PLAZA DR",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394526095",
            "telephone_number": "601-947-9530",
            "fax_number": "601-947-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARE",
        "first_name": "ADRIENNE",
        "middle_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "4015-18",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "4015-18",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1598472102",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lucedale, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.