Lauren Rae Herring Thames, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4381-23 Issued in MS

Practice address

1171 W Main St
Ackerman, MS 39735-9049

Phone

(662) 634-4689

NPI assigned

Jun 19, 2023

Last updated

Jun 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Mitchell Dental Clinic, Inc

  • General Practice Dentistry
  • Ackerman, MS
  • NPI 1578712980
  NPD
• Mitchell Dental Clinic, Inc

  • Dentist
  • Flowood, MS
  • NPI 1447610738
  NPD (past)

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1376228171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 JOSEY AVE",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593131",
            "telephone_number": "601-573-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 W MAIN ST",
            "city": "ACKERMAN",
            "state": "MS",
            "postal_code": "397359049",
            "telephone_number": "662-634-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAMES",
        "first_name": "LAUREN",
        "middle_name": "RAE HERRING",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "4381-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harmon Sidney Prosser, MD
• Reshundra Shaffer, LMSW
• Jill Marie Shaw, FNP-BC
• Phillip Smith
• Terri Denise Swilley
• The Columbus Orthopaedic Clinic, P.a.
• Tru-Care Medical Ackerman
• Diane Watkins
• Virginia Wilbanks

• General Practice Dentistry in Ackerman, MS
• Providers in Ackerman, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.