Thomas Herbert Shirley, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3090 Issued in LA

Practice address

307 S Washington St
Deridder, LA 70634-4861

Phone

(337) 463-3036

Fax

(337) 463-8554

NPI assigned

Mar 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902921489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S WASHINGTON ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344861",
            "telephone_number": "337-463-3036",
            "fax_number": "337-463-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S WASHINGTON ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344861",
            "telephone_number": "337-463-3036",
            "fax_number": "337-463-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRLEY",
        "first_name": "THOMAS",
        "middle_name": "HERBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "3090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Saunier, M.D.
• Marta Lichtl Schexnayder, MCD-CCC/SLP
• Serenity Child and Youth Counseling, LLC
• Mason Shaw, DPT
• James T Shirley, D.D.S.
• Lacy Jaye Simmons, FNP
• Nada Singer, MS,CCC-SLP
• Nicholas Skinner
• April Solea, CNM
• Jonathon Sossamon

• General Practice Dentistry in Deridder, LA
• Providers in Deridder, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.