NPIMap

Organization Active NPI

Halder Creative Smiles Dental

Doing business as Creative Smiles Dental

  • Dentist
  • Metairie, LA
National Provider Identifier
1184808776
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5279 Issued in LA
Legal business name
HALDER CREATIVE SMILES DENTAL
Doing business as
Creative Smiles Dental
Practice address
4432 Chastant St
Metairie, LA 70006
Phone
(504) 885-0467
Fax
(504) 885-0468
NPI assigned
Dec 19, 2007
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Rhonda O Halder, DDSNPI 1871625632
Title
Owner
Phone
(504) 885-0467

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: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 5279 LA Primary
Dental Clinic/Center 261QD0000X 5279 LA

Addresses

Primary practice location

4432 Chastant St
Metairie, LA 70006

Mailing address

4432 Chastant St
Metairie, LA 70006
Phone (504) 885-0467

Other names 1

  • Creative Smiles Dental Doing business as

National Provider Directory

National Provider Directory

Locations

4432 Chastant St
Metairie, LA 70006
Phone (504) 455-5316

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": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1184808776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4432 CHASTANT ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70006",
            "telephone_number": "504-885-0467",
            "fax_number": "504-885-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4432 CHASTANT ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70006",
            "telephone_number": "504-885-0467",
            "fax_number": "504-885-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALDER CREATIVE SMILES DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "HALDER",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-885-0467",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "LA",
            "license": "5279",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "LA",
            "license": "5279",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Smiles Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 17, 2008; 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.