Active NPI
Leah Danielle Waits, D.M.D.
- General Practice Dentistry
- Hattiesburg, MS
National Provider Identifier
1942721477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3951-17
- Practice address
- 6414 U S Highway 98 Ste 10
Hattiesburg, MS 39402-7838 - Phone
- (601) 543-3745
- NPI assigned
- Jul 6, 2017
- Last updated
- Oct 14, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3951-17 | MS | Primary |
Addresses
Primary practice location
6414 U S Highway 98 Ste 10
Hattiesburg, MS 39402-7838
Mailing address
6414 U S Highway 98 Ste 10
Hattiesburg, MS 39402-7838
Phone (601) 543-3745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171006001755 | AR | Order and Referring Only - Dentist | 3577838135 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3951-17 | MS | MD | General Practice Dentistry |
| 4204 | AR | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lamar Dental PLLC | Current | Accepting new patients |
Locations
6414 U S Highway 98
Ste 10
Hattiesburg, MS 39402
Phone (601) 543-3745
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665705600000",
"number": "1942721477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6414 U S HIGHWAY 98 STE 10",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394027838",
"telephone_number": "601-543-3745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6414 U S HIGHWAY 98 STE 10",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394027838",
"telephone_number": "601-543-3745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAITS",
"first_name": "LEAH",
"middle_name": "DANIELLE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-06",
"last_updated": "2022-10-14",
"certification_date": "2022-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MS",
"license": "3951-17",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
- Steven Lee Wade
- Torrance Wade, LPC, NCC
- Marlee Wadsworth, MD
- Georgia McAdams Wahl, M.D.
- Thad F Waites, MD
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0916)
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2717)
- Wal-Mart Stores East, LP (Vision Center 30-2717)
- Wal-Mart Stores East, LP (Vision Center 30-0916)
- Callie Phelps Walden
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.