Organization Active NPI

South la Dental Sleep Medicine LLC

  • Dentist
  • Houma, LA
National Provider Identifier
1184435620
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SOUTH LA DENTAL SLEEP MEDICINE LLC
Practice address
600 Valhi Blvd
Houma, LA 70360-5976
Phone
(985) 872-3677
Fax
(985) 872-3680
NPI assigned
Jan 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Pedro Cuartas, DDSNPI 1891719597
Title
Owner
Phone
(985) 872-3677

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

600 Valhi Blvd
Houma, LA 70360-5976

Mailing address

600 Valhi Blvd
Houma, LA 70360-5976
Phone (985) 872-3677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250428001810 LA DME Supplier - Oral Surgery - Dentist 7517483159 Practice locations: Houma, LA

National Provider Directory

National Provider Directory

Locations

600 Valhi Blvd
Houma, LA 70360
Phone (985) 872-3677

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": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1184435620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 VALHI BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703605976",
            "telephone_number": "985-872-3677",
            "fax_number": "985-872-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 VALHI BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703605976",
            "telephone_number": "985-872-3677",
            "fax_number": "985-872-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH LA DENTAL SLEEP MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "CUARTAS",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-872-3677",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.