NPIMap

Individual provider Active NPI

Christopher Allen Marsalis, DDS

  • Dentist
  • Shreveport, LA
National Provider Identifier
1003609868
Registry record updated May 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7690 Issued in LA
Practice address
385 Bert Kouns Industrial Loop Ste 700
Shreveport, LA 71106-8163
Phone
(318) 688-9330
NPI assigned
May 26, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7690 LA Primary

Addresses

Primary practice location

385 Bert Kouns Industrial Loop Ste 700
Shreveport, LA 71106-8163

Mailing address

385 Bert Kouns Industrial Loop Ste 700
Shreveport, LA 71106-8163
Phone (318) 688-9330

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michael R. Wiesner DDS LLC CurrentSince Jun 3, 2025 Accepting new patients
A Brighter Smile PastSince Jun 3, 2025 Accepting new patients

Locations

385 Bert Kouns Loop
Ste 700
Shreveport, LA 71106
Phone (318) 688-9330

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1748217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748217600000",
    "number": "1003609868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 BERT KOUNS INDUSTRIAL LOOP STE 700",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711068163",
            "telephone_number": "318-688-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 BERT KOUNS INDUSTRIAL LOOP STE 700",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711068163",
            "telephone_number": "318-688-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSALIS",
        "first_name": "CHRISTOPHER",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-26",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "7690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; 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.