Organization Active NPI

Wboms, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Marrero, LA
National Provider Identifier
1295611093
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
WBOMS, LLC
Practice address
4800 10TH St
Marrero, LA 70072-3013
Phone
(504) 217-5717
Fax
(504) 217-5941
NPI assigned
Aug 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Authorized official

Name
Dr. Daniel Hyneman, D.D.S.,M.D.NPI 1164953089
Title
Owner
Phone
(504) 217-5717

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

4800 10TH St
Marrero, LA 70072-3013

Mailing address

3100 Galleria Dr Ste 202
Metairie, LA 70001-2196
Phone (504) 456-5033

National Provider Directory

National Provider Directory

Locations

4800 10th St
Marrero, LA 70072
Phone (504) 217-5717

3100 Galleria Dr
Ste 202
Metairie, LA 70001
Phone (504) 446-5033

Practitioners & affiliated clinicians

Practitioners 4

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": "1755216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1295611093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 GALLERIA DR STE 202",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012196",
            "telephone_number": "504-456-5033",
            "fax_number": "504-456-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 10TH ST",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723013",
            "telephone_number": "504-217-5717",
            "fax_number": "504-217-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WBOMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "HYNEMAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-217-5717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S.,M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.