Tulane Family Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6084 Issued in LA

Legal business name

TULANE FAMILY DENTISTRY, LLC

Practice address

2504 Tulane Ave
New Orleans, LA 70119-7445

Phone

(504) 304-9929

NPI assigned

Feb 24, 2013

Last updated

Sep 10, 2013By 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

Dr. William J Shelton III, D.D.S.NPI 1942511647

Title

Manager

Phone

(504) 304-9929

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• William Joseph Shelton III, D.D.S.

  • General Practice Dentistry
  • New Orleans, LA
  • NPI 1942511647
  NPD (past) Authorized official
• Misha Renee Mullen, DDS

  • General Practice Dentistry
  • New Orleans, LA
  • NPI 1033705868
  NPD (past)
• Alexis Russell, DDS

  • Pediatric Dentistry
  • New Orleans, LA
  • NPI 1851602551

  General Practice

  NPD (past)

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

{
    "created_epoch": "1361664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1366782617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 TULANE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701197445",
            "telephone_number": "504-304-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 TULANE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701197445",
            "telephone_number": "504-304-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULANE FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-24",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "504-304-9929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1860841",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tuhc Radiology Group LLC
• Tuhc Radiology Group LLC
• Tulane Department of Dermatology
• Tulane Drug Analysis Laboratory LLC (Toxicology & Drug Analysis Laboratory)
• Tulane Emergency Medical Services (Tuland Emergency Medical Service)
• Tulane Hospital
• Tulane Hospital
• Tulane Internal Medicine
• Tulane Medical Center
• Tulane Medical Center Administrators (Affiliated Services Billing)

• General Practice Dentistry in New Orleans, LA
• Providers in New Orleans, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.