Organization Active NPI

Lacanas Herring Mack DDS PC

  • General Practice Dentistry
  • Memphis, TN
National Provider Identifier
1780850735
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7919 Issued in TN
Legal business name
LACANAS HERRING MACK DDS PC
Practice address
183 Tillman St
Memphis, TN 38111-2721
Phone
(901) 452-3211
NPI assigned
Apr 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Dr. Lacanas Herring Mack, DDSNPI 1891830063
Title
General Dentist
Phone
(901) 452-3211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7919 TN Primary

Addresses

Primary practice location

183 Tillman St
Memphis, TN 38111-2721

Mailing address

183 Tillman St
Memphis, TN 38111-2721
Phone (901) 452-3211

National Provider Directory

National Provider Directory

Locations

183 Tillman St
Memphis, TN 38111
Phone (901) 452-3211

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1780850735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 TILLMAN ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381112721",
            "telephone_number": "901-452-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 TILLMAN ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381112721",
            "telephone_number": "901-452-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACANAS HERRING MACK DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "LACANAS",
        "authorized_official_middle_name": "HERRING",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "901-452-3211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "7919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.