Michael B Smith DDS LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MICHAEL B SMITH DDS LLC

Practice address

250 Ochsner Blvd Ste 100
Gretna, LA 70056-5257

Phone

(504) 392-6057

Fax

(504) 391-2429

NPI assigned

Jun 25, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Shanna R Panepinto

Title

Office Manager

Phone

(504) 392-6057

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael B. Smith, DDS

  • Dentist
  • Gretna, LA
  • NPI 1700015054
  NPD

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1336719137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 OCHSNER BLVD STE 100",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700565257",
            "telephone_number": "504-392-6057",
            "fax_number": "504-391-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 OCHSNER BLVD STE 100",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700565257",
            "telephone_number": "504-392-6057",
            "fax_number": "504-391-2429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Metairie Rd Ste 2A212",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700054049",
            "country_code": "US",
            "telephone_number": "504-392-6057",
            "fax_number": "504-391-2429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHAEL B SMITH DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "PANEPINTO",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "504-392-6057",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1700015054",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@michaelsmithdds.com",
            "affiliation": "N",
            "address_1": "250 Ochsner Blvd Ste 100",
            "city": "Gretna",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700565257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Dentist in Gretna, LA
• Providers in Gretna, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.