NPIMap

Organization Active NPI

Gentry Haughton LLC

  • Foot & Ankle Surgery Podiatrist
  • Shreveport, LA
National Provider Identifier
1245503119
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
200048 Issued in LA
Legal business name
GENTRY HAUGHTON LLC
Practice address
592 Unadilla St
Shreveport, LA 71106-1240
Phone
(318) 519-7555
NPI assigned
Feb 22, 2012
Last updated
Jul 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Dr. Gentry Lee Haughton, DPMNPI 1316171358
Title
Podiatrist
Phone
(318) 519-7555

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 200048 LA Primary

Addresses

Primary practice location

592 Unadilla St
Shreveport, LA 71106-1240

Mailing address

PO Box 5237
Shreveport, LA 71135-5237
Phone (318) 519-7555

National Provider Directory

National Provider Directory
Tax ID family
Gentry Haughton2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1635 Marvel St
Coushatta, LA 71019
Phone (318) 932-2000

Practitioners & affiliated clinicians

Practitioners 2

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": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1245503119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5237",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711355237",
            "telephone_number": "318-519-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "592 UNADILLA ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711061240",
            "telephone_number": "318-519-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTRY HAUGHTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "HAUGHTON",
        "authorized_official_first_name": "GENTRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "318-519-7555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "LA",
            "license": "200048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.