Organization Active NPI

Samuel James Ogden DMD

Doing business as S J Ogden DMD

  • General Practice Dentistry
  • Mer Rouge, LA
National Provider Identifier
1295843654
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1401 Issued in LA
Legal business name
SAMUEL JAMES OGDEN DMD
Doing business as
S J Ogden DMD
Practice address
103 South 20TH Street
Mer Rouge, LA 71261-0167
Phone
(318) 647-3960
Fax
(318) 647-3960
NPI assigned
Aug 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Samuel James Ogden Sr., DMD
Title
President Corporation
Phone
(318) 647-3960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1401 LA Primary

Addresses

Primary practice location

103 South 20TH Street
Mer Rouge, LA 71261-0167

Mailing address

PO Box 167
Mer Rouge, LA 71261-0167
Phone (318) 647-3960

Other identifiers 1

IdentifierTypeStateIssuer
1814016MedicaidLA

Other names 1

  • S J Ogden DMD Doing business as

National Provider Directory

National Provider Directory

Locations

103 S 20th St
Mer Rouge, LA 71261
Phone (318) 647-3960

NPI Registry JSON

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295843654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 167",
            "city": "MER ROUGE",
            "state": "LA",
            "postal_code": "712610167",
            "telephone_number": "318-647-3960",
            "fax_number": "318-647-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SOUTH 20TH STREET",
            "city": "MER ROUGE",
            "state": "LA",
            "postal_code": "712610167",
            "telephone_number": "318-647-3960",
            "fax_number": "318-647-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL JAMES OGDEN DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OGDEN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT CORPORATION",
        "authorized_official_telephone_number": "318-647-3960",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "1401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1814016",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S J Ogden DMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mer Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.