NPIMap

Organization Active NPI

Daniel R Shea DDS LLC

Doing business as Shea Family Dentistry

  • Dental Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1174165799
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DANIEL R SHEA DDS LLC
Doing business as
Shea Family Dentistry
Practice address
1930 Perkins Rd
Baton Rouge, LA 70808-1483
Phone
(225) 344-0391
NPI assigned
Oct 15, 2019
Last updated
Oct 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Authorized official

Name
Dr. Daniel Shea, DDSNPI 1548255995
Title
Owner
Phone
(225) 344-0391

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1930 Perkins Rd
Baton Rouge, LA 70808-1483

Mailing address

1930 Perkins Rd
Baton Rouge, LA 70808-1483
Phone (225) 344-0391

Other practice location 1

1930 Perkins Rd
Baton Rouge, LA 70808-1483
Phone (225) 344-0391

Other names 1

  • Shea Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1930 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 344-0391

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": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571097600000",
    "number": "1174165799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 PERKINS RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708081483",
            "telephone_number": "225-344-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 PERKINS RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708081483",
            "telephone_number": "225-344-0391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1930 Perkins Rd",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708081483",
            "country_code": "US",
            "telephone_number": "225-344-0391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DANIEL R SHEA DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-344-0391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shea Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.