NPIMap

Organization Active NPI

W. a. Thames, DMD

Doing business as thames family dentistry

  • General Practice Dentistry
  • Nettleton, MS
National Provider Identifier
1295972644
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2204-85 Issued in MS
Legal business name
W. A. THAMES, DMD
Doing business as
thames family dentistry
Practice address
228 Main Street
Box 388
Nettleton, MS 38858
Phone
(662) 963-7338
Fax
(662) 963-7339
NPI assigned
Jan 7, 2009
Last updated
Jan 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2009

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

Authorized official

Name
Dr. Walter A Thames Jr., DMDNPI 1104914431
Title
Owner
Phone
(662) 963-7338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2204-85 MS Primary

Addresses

Primary practice location

228 Main Street
Box 388
Nettleton, MS 38858

Mailing address

228 Main Street
Box 388
Nettleton, MS 38858
Phone (662) 963-7338

Other identifiers 1

IdentifierTypeStateIssuer
00060277MedicaidMS

Other names 1

  • thames family dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

228 Main St
#388
Nettleton, MS 38858
Phone (662) 963-7338

Practitioners & affiliated clinicians

Practitioners 1

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": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1295972644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 MAIN STREET",
            "address_2": "BOX 388",
            "city": "NETTLETON",
            "state": "MS",
            "postal_code": "38858",
            "telephone_number": "662-963-7338",
            "fax_number": "662-963-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 MAIN STREET",
            "address_2": "BOX 388",
            "city": "NETTLETON",
            "state": "MS",
            "postal_code": "38858",
            "telephone_number": "662-963-7338",
            "fax_number": "662-963-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W. A. THAMES, DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "THAMES",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-963-7338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "2204-85",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00060277",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "thames family dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nettleton, MS

Sources for this page

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