NPIMap

Organization Active NPI

Louisiana Dental Professionals, Donovan Dronet, DDS, a Professional de

  • General Practice Dentistry
  • Lake Charles, LA
National Provider Identifier
1114387404
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LOUISIANA DENTAL PROFESSIONALS, DONOVAN DRONET, DDS, A PROFESSIONAL DE
Practice address
4459 Nelson Rd
Suite 120
Lake Charles, LA 70605
Phone
(337) 656-1179
NPI assigned
Feb 29, 2016
Organization subpart
Yes
Parent organization
LOUISIANA DENTAL PROFESSIONALS, DONOVAN DRONET, DDS, A PROFESSIONAL DEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Authorized official

Name
Jessica Britt
Title
Credentialing Coordinator
Phone
(217) 540-8426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4459 Nelson Rd
Suite 120
Lake Charles, LA 70605

Mailing address

4459 Nelson Rd
Suite 120
Lake Charles, LA 70605

Other names 1

  • Calcasieu Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Louisiana Dental Professionals Dr Jamini Mwendo DDS a Professio16 organizations share this tax ID, including this one
Part of
Louisiana Dental Professionals Dr Jamini Mwendo DDS a Professio

Other organizations with this tax ID 15

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

View all 15

Locations

4459 Nelson Rd
Ste 120
Lake Charles, LA 70605
Phone (337) 479-2273

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1114387404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4459 NELSON RD",
            "address_2": "SUITE 120",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4459 NELSON RD",
            "address_2": "SUITE 120",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70605",
            "telephone_number": "337-656-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA DENTAL PROFESSIONALS, DONOVAN DRONET, DDS, A PROFESSIONAL DE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOUISIANA DENTAL PROFESSIONALS, DONOVAN DRONET, DDS, A PROFESSIONAL DE",
        "enumeration_date": "2016-02-29",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "BRITT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-8426"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calcasieu Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Calcasieu Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.