Active NPI
Denny Dismuke, LMT
- Massage Therapist
- Meridian, MS
National Provider Identifier
1386090249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- LMT2347
- Practice address
- 2000 15TH St
Meridian, MS 39301-4138 - Phone
- (601) 697-6748
- NPI assigned
- May 10, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | LMT2347 | MS | Primary |
Addresses
Primary practice location
2000 15TH St
Meridian, MS 39301-4138
Mailing address
182 Wilbur Rd
Hickory, MS 39332-3198
Phone (601) 697-6748
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMT2347 | MS | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462838400000",
"number": "1386090249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "182 WILBUR RD",
"city": "HICKORY",
"state": "MS",
"postal_code": "393323198",
"telephone_number": "601-697-6748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 15TH ST",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393014138",
"telephone_number": "601-697-6748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISMUKE",
"first_name": "DENNY",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-10",
"last_updated": "2016-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MS",
"license": "LMT2347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.