Organization Active NPI

Pediatric Dental Partners, LLP

  • Pediatric Dentistry
  • Shreveport, LA
National Provider Identifier
1073755435
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
3133 Issued in LA
Legal business name
PEDIATRIC DENTAL PARTNERS, LLP
Practice address
318 Carroll St.
Shreveport, LA 71105-4132
Phone
(318) 865-2250
Fax
(318) 865-3751
NPI assigned
Apr 1, 2009
Last updated
Jul 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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

Authorized official

Name
Dr. Daniel A Crawford, DDSNPI 1790900264
Title
Pediatric Dentist
Phone
(318) 865-2250

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
Pediatric Dentistry 1223P0221X 3133 LA Primary

Addresses

Primary practice location

318 Carroll St.
Shreveport, LA 71105-4132

Mailing address

318 Carroll St
Shreveport, LA 71105-4132
Phone (318) 865-2250

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Dental Partners LLP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246924800000",
    "number": "1073755435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 CARROLL ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711054132",
            "telephone_number": "318-865-2250",
            "fax_number": "318-865-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 CARROLL ST.",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711054132",
            "telephone_number": "318-865-2250",
            "fax_number": "318-865-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL PARTNERS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-07-07",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "318-865-2250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "LA",
            "license": "3133",
            "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 Jul 7, 2009; 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.