Organization Active NPI

Ustdds, Inc.

  • General Practice Dentistry
  • Metairie, LA
National Provider Identifier
1134531486
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6455 Issued in LA
Legal business name
USTDDS, INC.
Practice address
3939 Houma Blvd
Building 3 Suite 11
Metairie, LA 70006-2931
Phone
(504) 887-3311
NPI assigned
May 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Authorized official

Name
Dr. Bonnie Muro Ust, D.D.SNPI 1346651817
Title
Director
Phone
(504) 460-3419

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6455 LA Primary

Addresses

Primary practice location

3939 Houma Blvd
Building 3 Suite 11
Metairie, LA 70006-2931

Mailing address

1029 Nursery Ave
Metairie, LA 70005-2321
Phone (504) 460-3419

National Provider Directory

National Provider Directory

Locations

3939 Houma Blvd
Ste 11
Metairie, LA 70006
Phone (504) 887-3311

Practitioners & affiliated clinicians

Practitioners 2

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": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1134531486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 NURSERY AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700052321",
            "telephone_number": "504-460-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 HOUMA BLVD",
            "address_2": "BUILDING 3 SUITE 11",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062931",
            "telephone_number": "504-887-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USTDDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "UST",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "MURO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "504-460-3419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.

Verify at the official NPI Registry.