Thomas H. Wingo, Jr., D.D.S., LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

3483 Issued in LA

Legal business name

THOMAS H. WINGO, JR., D.D.S., LLC

Practice address

1008 W Thomas St
Hammond, LA 70401-3040

Phone

(985) 542-6855

Fax

(985) 542-6656

NPI assigned

Jan 9, 2007

Last updated

Jun 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Vina Marie Elkins

Title

Office Coordinator

Phone

(985) 542-6855

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas H. Wingo Jr., D.D.S

  • Pediatric Dentistry
  • Hammond, LA
  • NPI 1679531412
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1669521738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 W THOMAS ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704013040",
            "telephone_number": "985-542-6855",
            "fax_number": "985-542-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 W THOMAS ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704013040",
            "telephone_number": "985-542-6855",
            "fax_number": "985-542-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS H. WINGO, JR., D.D.S., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "ELKINS",
        "authorized_official_first_name": "VINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "985-542-6855",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "LA",
            "license": "3483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881023",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theophilus Community Programs, Inc. (TCP, Inc.)
• Theophilus Community Programs, Inc. (TCP, Inc.)
• Alexis N Theriot, RDN, LDN
• Annette D. Theriot, DDS
• Kathryn Langley Thibodeaux, LPN
• Alwin Thomas, MD
• Charne Annette Thomas, CTRS
• Collin Thomas, APRN, CPNP
• Denise Ann Thomas, NURSE PRACTITIONER
• Kevin Thomas

• Pediatric Dentistry in Hammond, LA
• Providers in Hammond, LA by specialty
• Pediatric Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.