Asif A Lala, DMD, MD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

23598 Issued in MS

Practice address

1212 24TH Ave
Meridian, MS 39301-3926

Phone

(601) 485-2494

Fax

(601) 485-4837

NPI assigned

Nov 19, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• East Mississippi Oral & Facial Surgery, LLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Meridian, MS
  • NPI 1235508342
  NPD (past) Authorized official

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1649425596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 24TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013926",
            "telephone_number": "601-485-2494",
            "fax_number": "601-485-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 24TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013926",
            "telephone_number": "601-485-2494",
            "fax_number": "601-485-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALA",
        "first_name": "ASIF",
        "middle_name": "A",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-19",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "DN014405",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS036967",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MS",
            "license": "3785-15",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MS",
            "license": "23598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05034060",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Louise Lagreco, D.D.S.
• Laird Hospital, Inc
• Laird Hospital, Inc.
• Markeeta Lake
• Lakeview Healthcare, Inc
• Ravi Lamichhane, MD
• Smriti Lamsal Lamichhane
• Katrina M. Landrum, PMHNP
• Deborah Creekmore Lane, RN, CDCES
• Langston Jett Enterprises, LLC

• Oral & Maxillofacial Surgery (D.M.D.) in Meridian, MS
• Providers in Meridian, MS by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.