Organization Active NPI

Theriot Family Dental Care- Youngsville, LLC

  • Dental Clinic/Center
  • Youngsville, LA
National Provider Identifier
1073123337
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
THERIOT FAMILY DENTAL CARE- YOUNGSVILLE, LLC
Practice address
329 Iberia St
Youngsville, LA 70592-5738
Phone
(337) 856-7268
NPI assigned
Aug 3, 2020
Last updated
Aug 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Authorized official

Name
John TheriotNPI 1871554402
Title
Owner
Phone
(337) 984-3408

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

329 Iberia St
Youngsville, LA 70592-5738

Mailing address

329 Iberia St
Youngsville, LA 70592-5738

National Provider Directory

National Provider Directory

Locations

329 Iberia St
Youngsville, LA 70592
Phone (337) 856-7268

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1073123337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 IBERIA ST",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 IBERIA ST",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925738",
            "telephone_number": "337-856-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERIOT FAMILY DENTAL CARE- YOUNGSVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "THERIOT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-984-3408"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngsville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.