Individual provider Active NPI

Christina A. Smith, DDS

  • General Practice Dentistry
  • Kenner, LA
National Provider Identifier
1235741315
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7130 Issued in LA
Practice address
2240 Veterans Memorial Blvd
Kenner, LA 70062-5673
Phone
(504) 405-3870
NPI assigned
Aug 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7130 LA Primary

Addresses

Primary practice location

2240 Veterans Memorial Blvd
Kenner, LA 70062-5673

Mailing address

1314 Carrollton Ave
Metairie, LA 70005-1809
Phone (504) 428-8879

Other practice location 1

119 S Airline Hwy
Gonzales, LA 70737-3633
Phone (225) 308-3435

Other practice location 2

1708 Mlk Jr Blvd Ste 101
Houma, LA 70360-2408
Phone (985) 746-9886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7130LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chedly Schatzie Vincent DMD LLC General Practice PastSince Aug 23, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1235741315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 CARROLLTON AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700051809",
            "telephone_number": "504-428-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 VETERANS MEMORIAL BLVD",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700625673",
            "telephone_number": "504-405-3870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 S Airline Hwy",
            "address_purpose": "LOCATION",
            "city": "Gonzales",
            "state": "LA",
            "postal_code": "707373633",
            "country_code": "US",
            "telephone_number": "225-308-3435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1708 Mlk Jr Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Houma",
            "state": "LA",
            "postal_code": "703602408",
            "country_code": "US",
            "telephone_number": "985-746-9886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTINA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "7130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.