Active NPI
Elise Morgan Trahant, D.D.S.
- Dentist
- Shreveport, LA
National Provider Identifier
1093067506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6323
- Practice address
- 814 Pierremont Rd
Shreveport, LA 71106-2034 - Phone
- (318) 865-8478
- NPI assigned
- Oct 8, 2012
- 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 | 6323 | LA | Primary |
Addresses
Primary practice location
814 Pierremont Rd
Shreveport, LA 71106-2034
Mailing address
814 Pierremont Rd
Shreveport, LA 71106-2034
Phone (318) 865-8478
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 |
|---|---|---|---|
| 6323 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H. O. Blackwood, D.D.S. Apdc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Shreveport, LA
- NPI 1689862260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349654400000",
"number": "1093067506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 PIERREMONT RD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711062034",
"telephone_number": "318-865-8478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 PIERREMONT RD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711062034",
"telephone_number": "318-865-8478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAHANT",
"first_name": "ELISE",
"middle_name": "MORGAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-08",
"last_updated": "2012-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "6323",
"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 Oct 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.