Thomas E Lobrano Sr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1842-79 Issued in MS

Practice address

260 E Main St
Centreville, MS 39631-4200

Phone

(601) 645-5388

NPI assigned

Oct 4, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679668768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 789",
            "address_2": "260 MAIN ST.",
            "city": "CENTREVILLE",
            "state": "MS",
            "postal_code": "396310789",
            "telephone_number": "601-645-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 E MAIN ST",
            "city": "CENTREVILLE",
            "state": "MS",
            "postal_code": "396314200",
            "telephone_number": "601-645-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBRANO",
        "first_name": "THOMAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "1842-79",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00675784",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00064701",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1890383",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jelks Family Pharmacy, LLC (Jelks Family Pharmacy (LTC))
• Jelks Family Pharmacy, LLC (Jelks Family Pharmacy)
• Ashlee Jelks
• James L. Jelks Jr., R. PH.
• Caroline Agatha Lobrano
• Samantha Magee, FNP
• Amber Watson Malone
• Gerald H McDaniel, CRNA
• Aubriana R. McFarland, SLP
• Ricardo Nimo, MD

• General Practice Dentistry in Centreville, MS
• Providers in Centreville, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.