Starfish Lake Charles

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5315 Issued in LA

Legal business name

STARFISH LAKE CHARLES

Doing business as

Sensible Dental

Practice address

3451 Nelson Rd
Lake Charles, LA 70605-1209

Phone

(337) 479-2273

Fax

(337) 478-2212

NPI assigned

Dec 9, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Estopinal

Title

Office Manager

Phone

(337) 479-2273

Specialties & licenses 1

Addresses

Other names 1

• Sensible Dental Doing business as

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1215230412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4906 AMBASSADOR CAFFERY PKWY BLDG I",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086962",
            "telephone_number": "337-456-5573",
            "fax_number": "337-504-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 NELSON RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706051209",
            "telephone_number": "337-479-2273",
            "fax_number": "337-478-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARFISH LAKE CHARLES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "ESTOPINAL",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "337-479-2273",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sensible Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Connie Stackhouse
• Kaycie Stacy
• Earl Ray Stagg, M.D.
• Stanley R Kordisch M D AMC
• Star Care Service Inc
• Laurie Davis Starr, FNP-C
• State of la/DHH/Obh (Lake Charles Behavioral Health Clinic)
• Jarrod Wayne Statum, RSW
• Naomi Kathleen Stauth, MS, LAT, ATC
• Joel Rion Staves

• General Practice Dentistry in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.