Active NPI
Harris Lionel Poret, DDS
- General Practice Dentistry
- Saint Joseph, LA
National Provider Identifier
1376586321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1594
- Practice address
- 1115 Levee Rd
Saint Joseph, LA 71366-6639 - Phone
- (318) 766-1967
- Fax
- (318) 766-9090
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1594 | LA | Primary |
Addresses
Primary practice location
1115 Levee Rd
Saint Joseph, LA 71366-6639
Mailing address
1115 Levee Rd
P.O. Box 46
Saint Joseph, LA 71366-6639
Phone (318) 766-1967
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 |
|---|---|---|---|
| 1594 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tensas Community Health Center Inc. | Past | Accepting new patients | |
| Tensas Community Health Center Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CHHACD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Saint Joseph, LA
- NPI 1720054075
-
- Federally Qualified Health Center (FQHC)
- Vidalia, LA
- NPI 1235600990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314144000000",
"number": "1376586321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 LEVEE RD",
"address_2": "P.O. BOX 46",
"city": "SAINT JOSEPH",
"state": "LA",
"postal_code": "713666639",
"telephone_number": "318-766-1967",
"fax_number": "318-766-9090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 LEVEE RD",
"city": "SAINT JOSEPH",
"state": "LA",
"postal_code": "713666639",
"telephone_number": "318-766-1967",
"fax_number": "318-766-9090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORET",
"first_name": "HARRIS",
"middle_name": "LIONEL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2011-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "1594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.