Active NPI
Jamila A Mitchell, DDS
- Dentist
- New Iberia, LA
National Provider Identifier
1356533558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5862
- Practice address
- 1218 Dillard St
New Iberia, LA 70560-0834 - Phone
- (337) 365-5078
- Fax
- (337) 365-5078
- NPI assigned
- Aug 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5862 | LA | Primary |
Addresses
Primary practice location
1218 Dillard St
New Iberia, LA 70560-0834
Mailing address
PO Box 13934
New Iberia, LA 70562-3934
Phone (337) 365-5078
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5862 | LA | MD | Addiction (Substance Use Disorder) Counselor |
Interoperability endpoints
- jmitchell1466613@direct.ochsner.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320192000000",
"number": "1356533558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13934",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705623934",
"telephone_number": "337-365-5078",
"fax_number": "337-365-5078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1218 DILLARD ST",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705600834",
"telephone_number": "337-365-5078",
"fax_number": "337-365-5078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "JAMILA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-13",
"last_updated": "2011-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "5862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Iberia, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.