Jeffrey Kerst DDS LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

JEFFREY KERST DDS LLC

Practice address

8789 Line Ave
Shreveport, LA 71106-6813

Phone

(318) 865-1600

NPI assigned

Oct 6, 2021

Organization subpart

No

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

Authorized official

Name

Jeffrey KerstNPI 1730641937

Title

President

Phone

(318) 865-1600

Specialties & licenses 1

Addresses

Other names 1

• Jeffrey Kerst DDS Doing business as

Practitioners 4

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

• Jeffrey Kerst, DDS

  • Dentist
  • Shreveport, LA
  • NPI 1730641937
  NPD Authorized official
• Gary Caskey

  • General Practice Dentistry
  • Shreveport, LA
  • NPI 1912934530
  NPD (past)
• Allison Haynie Kerst, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Shreveport, LA
  • NPI 1528674116
  NPD (past)
• Ryan P Wicker, DDS

  • General Practice Dentistry
  • Shreveport, LA
  • NPI 1487684775
  NPD (past)

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1174285340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8789 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711066813",
            "telephone_number": "318-865-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8789 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711066813",
            "telephone_number": "318-865-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY KERST DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "KERST",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-865-1600"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeffrey Kerst DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maurice Jamal Jefferson Sr.
• Sharon Denise Jefferson, MSW
• Tongala Renee Jefferson
• Willie Jefferson, MA
• Ambrosia A Jeffery, FNP-C
• Jeffrey Lee Martin, DMD a Professional Dental Corp.
• Jeffrey M Gosslee MD Apmc
• Shawndreka Jelks
• Brittany M Jellum, PTA
• Jenkins Counseling Services, LLC

• Dentist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.