Individual provider Active NPI

Ann Louise Lagreco, D.D.S.

  • General Practice Dentistry
  • Meridian, MS
National Provider Identifier
1245210269
Registry record updated Jul 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6377 Issued in KS
Practice address
Naval Branch Health Clinic
1801 Fuller Rd Ste a-01
Meridian, MS 39309-5106
Phone
(601) 679-2383
NPI assigned
Jan 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6377 KS Primary

Addresses

Primary practice location

Naval Branch Health Clinic
1801 Fuller Rd Ste a-01
Meridian, MS 39309-5106

Mailing address

1801 Fuller Rd Ste a-01
Naval Branch Health Clinic
Meridian, MS 39309-5106
Phone (601) 679-2383

Other names 1

  • Dr. Ann Louise Gilmore Former name

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
6377KSMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248998400000",
    "number": "1245210269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 FULLER RD STE A-01",
            "address_2": "NAVAL BRANCH HEALTH CLINIC",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393095106",
            "telephone_number": "601-679-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL BRANCH HEALTH CLINIC",
            "address_2": "1801 FULLER RD STE A-01",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393095106",
            "telephone_number": "601-679-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGRECO",
        "first_name": "ANN",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2009-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "6377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "GILMORE",
            "middle_name": "LOUISE",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.