Active NPI
Mindy Michelle Moore, D.D.S.
- Dentist
- Denham Springs, LA
National Provider Identifier
1073722419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5813
- Practice address
- 140 Veterans Blvd
Denham Springs, LA 70726-5100 - Phone
- (225) 667-0037
- Fax
- (225) 667-0038
- NPI assigned
- May 22, 2007
- Last updated
- Oct 29, 2014
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 5813 | LA | Primary |
Addresses
Primary practice location
140 Veterans Blvd
Denham Springs, LA 70726-5100
Mailing address
140 Veterans Blvd
Denham Springs, LA 70726-5100
Phone (225) 667-0037
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5813 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E Edward Hood DDS PC | Dentist | Past | Accepting new patients |
| E Edward Hood Jr, DDS - Livingston, PLLC | Dentist | Past | Accepting new patients |
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, 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": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414540800000",
"number": "1073722419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 VETERANS BLVD",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707265100",
"telephone_number": "225-667-0037",
"fax_number": "225-667-0038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 VETERANS BLVD",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707265100",
"telephone_number": "225-667-0037",
"fax_number": "225-667-0038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "MINDY",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2014-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "5813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denham Springs, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.