Organization Active NPI

Thames Family Dentistry

  • Preferred Provider Organization
  • Collierville, TN
National Provider Identifier
1396124152
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
9203 Issued in TN
Legal business name
THAMES FAMILY DENTISTRY
Practice address
60 Market Center Dr
Collierville, TN 38017-7077
Phone
(901) 850-7338
NPI assigned
May 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Authorized official

Name
Dr. Walter Thames Jr.
Title
DMD, Owner
Phone
(901) 850-7338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 9203 TN Primary

Addresses

Primary practice location

60 Market Center Dr
Collierville, TN 38017-7077

Mailing address

60 Market Center Dr
Collierville, TN 38017-7077
Phone (901) 850-7338

National Provider Directory

National Provider Directory

Locations

60 Market Center Dr
Collierville, TN 38017
Phone (901) 850-7338

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1396124152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MARKET CENTER DR",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380177077",
            "telephone_number": "901-850-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MARKET CENTER DR",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380177077",
            "telephone_number": "901-850-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THAMES FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "THAMES",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "DMD, OWNER",
        "authorized_official_telephone_number": "901-850-7338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TN",
            "license": "9203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.