NPIMap

Organization Active NPI

Ware Family Dental of Mississippi

  • Dentist
  • Lucedale, MS
National Provider Identifier
1598472102
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WARE FAMILY DENTAL OF MISSISSIPPI
Practice address
13 Plaza Dr
Lucedale, MS 39452-6095
Phone
(601) 947-9530
Fax
(601) 947-9595
NPI assigned
Nov 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Dr. Adrienne S Ware, DDSNPI 1124504790
Title
Owner
Phone
(601) 947-9530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

13 Plaza Dr
Lucedale, MS 39452-6095

Mailing address

13 Plaza Dr
Lucedale, MS 39452-6095
Phone (601) 947-9530

Other identifiers 1

IdentifierTypeStateIssuer
00273591MedicaidMS

National Provider Directory

National Provider Directory

Locations

13 Plaza Dr
Lucedale, MS 39452
Phone (601) 947-9530

Practitioners & affiliated clinicians

Practitioners 2

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": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1598472102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 PLAZA DR",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394526095",
            "telephone_number": "601-947-9530",
            "fax_number": "601-947-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 PLAZA DR",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394526095",
            "telephone_number": "601-947-9530",
            "fax_number": "601-947-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARE FAMILY DENTAL OF MISSISSIPPI",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-947-9530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00273591",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lucedale, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.