Larissa Gardner Hammer, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3447-08 Issued in MS

Practice address

2162 S Lamar Blvd
Oxford, MS 38655-5224

Phone

(662) 236-1969

Fax

(662) 513-5878

NPI assigned

Jun 7, 2007

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• John a. Collier,, D.D.S., P.a.

  • General Practice Dentistry
  • Oxford, MS
  • NPI 1477825636
  NPD (past)
• Oxford Family Dental PLLC

  • Dental Clinic/Center
  • Oxford, MS
  • NPI 1376062257
  NPD (past)

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1710180807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2162 S LAMAR BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555224",
            "telephone_number": "662-236-1969",
            "fax_number": "662-513-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2162 S LAMAR BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555224",
            "telephone_number": "662-236-1969",
            "fax_number": "662-513-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMER",
        "first_name": "LARISSA",
        "middle_name": "GARDNER",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3447-08",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07458861",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory J Hale, MD
• Hunter Davis Haley
• Terri Bays Hall, LCSW
• Joshua Hamer
• Whitley Hamer
• Julie A Hammond, CRNA
• Harold Eugene Haney Jr., DMD
• Hanger Prosthetics & Orthotics, Inc.
• Cheryl Jean Hanks, RN
• Jasmine Hannah, LMSW

• General Practice Dentistry in Oxford, MS
• Providers in Oxford, 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 Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.