Individual provider Active NPI

Harris Lionel Poret, DDS

  • General Practice Dentistry
  • Saint Joseph, LA
National Provider Identifier
1376586321
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1594 Issued in LA
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

Updated by the provider on Aug 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1594LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tensas Community Health Center Inc. Past Accepting new patients
Tensas Community Health Center Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.