Individual provider Active NPI

Angela Marie Bachtell, D.D.S.

  • General Practice Dentistry
  • Shreveport, LA
National Provider Identifier
1265640825
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6321 Issued in LA
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

Updated by the provider on Oct 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
6321LAMDGeneral Practice Dentistry
018668MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bachtell Dentistry, LLC General Practice CurrentSince Sep 15, 2024 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.

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.

Verify at the official NPI Registry.