Organization Active NPI

Thomas Lobrano DDS PA

  • General Practice Dentistry
  • Centreville, MS
National Provider Identifier
1801198379
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
184279 Issued in MS
Legal business name
THOMAS LOBRANO DDS PA
Practice address
260 E Main St
Centreville, MS 39631-4200
Phone
(601) 645-5388
Fax
(601) 645-9187
NPI assigned
Dec 3, 2010
Last updated
Dec 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Authorized official

Name
Mrs. Jenny D McKey
Title
Recpt.
Phone
(601) 645-5388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 184279 MS Primary

Addresses

Primary practice location

260 E Main St
Centreville, MS 39631-4200

Mailing address

260 E Main St
Centreville, MS 39631-4200
Phone (601) 645-5388

Other identifiers 2

IdentifierTypeStateIssuer
1679668768OtherMSINDIVIDUAL NPI #
00064701MedicaidMS

National Provider Directory

National Provider Directory

Locations

260 E Main St
Centreville, MS 39631
Phone (601) 645-5361

NPI Registry JSON

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1801198379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 E MAIN ST",
            "city": "CENTREVILLE",
            "state": "MS",
            "postal_code": "396314200",
            "telephone_number": "601-645-5388",
            "fax_number": "601-645-9187"
        },
        {
            "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",
            "fax_number": "601-645-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS LOBRANO DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "MCKEY",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "RECPT.",
        "authorized_official_telephone_number": "601-645-5388",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "184279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1679668768",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00064701",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.