Active NPI
Angela Marie Bachtell, D.D.S.
- General Practice Dentistry
- Shreveport, LA
National Provider Identifier
1265640825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6321
- Practice address
- 1931 Southern Loop Ste D
Shreveport, LA 71106 - Phone
- (318) 701-8240
- Fax
- (318) 670-8527
- NPI assigned
- May 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 018668 | MI | |
| General Practice Dentistry | 1223G0001X | 6321 | LA | Primary |
Addresses
Primary practice location
1931 Southern Loop Ste D
Shreveport, LA 71106
Mailing address
1931 Southern Loop Ste D
Shreveport, LA 71106-8327
Phone (318) 701-8240
Other practice location 1
2164 Airline Dr
Bossier City, LA 71111-3106
Phone (903) 720-6638
Other names 1
- Dr. Angela Marie Buneta
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | angela.bachtell@bachtelldentistry.org | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6321 | LA | MD | General Practice Dentistry |
| 018668 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bachtell Dentistry, LLC | General Practice | Current | Accepting new patients |
Locations
1931 Southern Loop
Ste D
Shreveport, LA 71106
Phone (318) 701-8240
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.
-
- General Practice Dentistry
- Shreveport, LA
- NPI 1245066430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569888000000",
"number": "1265640825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1931 SOUTHERN LOOP STE D",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711068327",
"telephone_number": "318-701-8240",
"fax_number": "318-670-8527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1931 SOUTHERN LOOP STE D",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "71106",
"telephone_number": "318-701-8240",
"fax_number": "318-670-8527"
}
],
"practiceLocations": [
{
"address_1": "2164 Airline Dr",
"address_purpose": "LOCATION",
"city": "Bossier City",
"state": "LA",
"postal_code": "711113106",
"country_code": "US",
"telephone_number": "903-720-6638",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BACHTELL",
"first_name": "ANGELA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2019-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "018668",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "6321",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "angela.bachtell@bachtelldentistry.org",
"affiliation": "N",
"endpointDescription": "practice location",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "physical address",
"address_1": "1931 Southern Loop Ste D",
"city": "Shreveport",
"state": "LA",
"country_code": "US",
"postal_code": "711068327",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "BUNETA",
"middle_name": "MARIE",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "1",
"type": "Former Name"
}
]
}
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 Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.