NPIMap

Organization Active NPI

Hathorn & Locke General Dentistry, LLC

  • Dentist
  • Pineville, LA
National Provider Identifier
1194961607
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3154 Issued in LA
Legal business name
HATHORN & LOCKE GENERAL DENTISTRY, LLC
Practice address
402 Pinegrove Dr
Pineville, LA 71360-5726
Phone
(318) 448-3804
Fax
(318) 448-4880
NPI assigned
Jan 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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

Authorized official

Name
Dr. Thomas Hathorn, DDSNPI 1023241338
Title
Partner
Phone
(318) 448-3804

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 3154 LA Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 5576 LA
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 2775 LA

Addresses

Primary practice location

402 Pinegrove Dr
Pineville, LA 71360-5726

Mailing address

402 Pinegrove Dr
Pineville, LA 71360-5726
Phone (318) 448-3804

National Provider Directory

National Provider Directory

Locations

402 Pinegrove Dr
Pineville, LA 71360
Phone (318) 448-3804

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1194961607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 PINEGROVE DR",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713605726",
            "telephone_number": "318-448-3804",
            "fax_number": "318-448-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 PINEGROVE DR",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713605726",
            "telephone_number": "318-448-3804",
            "fax_number": "318-448-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATHORN & LOCKE GENERAL DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-05",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "HATHORN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "318-448-3804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "LA",
            "license": "3154",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "LA",
            "license": "5576",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "LA",
            "license": "2775",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.