Active NPI
Katherine McCardell Thimmesch, DDS
- Dentist
- Lafayette, LA
National Provider Identifier
1770934747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6003
- Practice address
- 300 Doucet Rd
Lafayette, LA 70503-3400 - Phone
- (337) 989-1268
- NPI assigned
- Jun 30, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6003 | LA | Primary |
Addresses
Primary practice location
300 Doucet Rd
Lafayette, LA 70503-3400
Mailing address
118 Richland Ave
Lafayette, LA 70508-6606
Phone (337) 288-0922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6003 | LA | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William M Malone | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Lafayette, LA
- NPI 1447415500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467244800000",
"number": "1770934747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 RICHLAND AVE",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705086606",
"telephone_number": "337-288-0922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 DOUCET RD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705033400",
"telephone_number": "337-989-1268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIMMESCH",
"first_name": "KATHERINE",
"middle_name": "MCCARDELL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-30",
"last_updated": "2016-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "6003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.