Lake Area Dentistry Kinder

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LAKE AREA DENTISTRY KINDER

Doing business as

Lake Area Dentistry Kinder

Practice address

203 1St Ave
Kinder, LA 70648-3538

Phone

(337) 738-2598

Fax

(337) 738-3102

NPI assigned

Sep 14, 2021

Last updated

Sep 14, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffery Hennigan, DDSNPI 1114288321

Title

Owner

Phone

(337) 478-8470

Specialties & licenses 1

Addresses

Other names 1

• Lake Area Dentistry Kinder Doing business as

Locations

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.

• Jeffery Allen Hennigan, D.D.S.

  • Dentist
  • Lake Charles, LA
  • NPI 1114288321
  Authorized official Same address or phone
• Barney H. Harper, DDS

  • General Practice Dentistry
  • Kinder, LA
  • NPI 1215146527
  NPD (past)

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1295405116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 1ST AVE",
            "city": "KINDER",
            "state": "LA",
            "postal_code": "706483538",
            "telephone_number": "337-738-2598",
            "fax_number": "337-738-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 1ST AVE",
            "city": "KINDER",
            "state": "LA",
            "postal_code": "706483538",
            "telephone_number": "337-738-2598",
            "fax_number": "337-738-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE AREA DENTISTRY KINDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "HENNIGAN",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-478-8470",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Area Dentistry Kinder",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kinder Family Pharmacy, LLC (Kinder Family Pharmacy)
• Kinder Retirement and Rehabilitation Center, LLC (Kinder Retirement and Rehabilitation Center)
• Kinder Therapy Group, LLC
• Samantha Lee Klein-Vidrine
• Kroger Texas L P (Coushatta Family Medical Center Pharmacy)
• Lindsey R Landry, MS, CCC-SLP
• Matthew Lovejoy, FNP-C
• Jenna Mancil
• Matthew R Courville MD LLC (Dr. Courville Family Practice)
• Sue A. Mayes, PTA

• Dental Clinic/Center in Kinder, LA
• Providers in Kinder, LA by specialty
• Dental Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.