NPIMap

Organization Active NPI

Southern Roots Dentistry LLC

Doing business as Southern Roots Dentistry

  • General Practice Dentistry
  • Shreveport, LA
National Provider Identifier
1154859320
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6747 Issued in LA
Legal business name
SOUTHERN ROOTS DENTISTRY LLC
Doing business as
Southern Roots Dentistry
Practice address
734 N Ashley Ridge Loop
Shreveport, LA 71106
Phone
(318) 701-8885
Fax
(318) 701-8887
NPI assigned
May 31, 2017
Last updated
Oct 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Authorized official

Name
Dr. James Daniel Lowder, DDSNPI 1134656382
Title
Owner
Phone
(318) 272-9835

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6747 LA Primary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6750 LA

Addresses

Primary practice location

734 N Ashley Ridge Loop
Shreveport, LA 71106

Mailing address

734 N Ashley Ridge Loop
Shreveport, LA 71106-7209
Phone (318) 701-8885

Other names 1

  • Southern Roots Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

8691 Line Ave
Ste 300
Shreveport, LA 71106

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": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1154859320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 N ASHLEY RIDGE LOOP",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067209",
            "telephone_number": "318-701-8885",
            "fax_number": "318-701-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 N ASHLEY RIDGE LOOP",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71106",
            "telephone_number": "318-701-8885",
            "fax_number": "318-701-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ROOTS DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A",
        "authorized_official_last_name": "LOWDER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-272-9835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6747",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6750",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Roots Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southern Roots Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 14, 2026; 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.