Ira Robert Pitfield, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4334 Issued in LA

Practice address

103 Smart Place
Ste B
Slidell, LA 70458

Phone

(985) 643-2616

Fax

(985) 643-2631

NPI assigned

May 12, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1376710103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SMART PL",
            "address_2": "STE. B",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582039",
            "telephone_number": "985-643-2616",
            "fax_number": "985-643-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SMART PLACE",
            "address_2": "STE B",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "70458",
            "telephone_number": "985-643-2616",
            "fax_number": "985-643-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITFIELD",
        "first_name": "IRA",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "4334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1843342",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracey Pierce
• Heidi Mancuso Pigott, MHS, LPC
• Kristin Ann Pippin, P.A. C
• Shannon Paul Pippin, ANP
• Zachary Pippin, M.D.
• Kasydra Pittman
• Anna Pizza Caruso, MSW, LCSW
• Laura L Place, MD
• Julie S. Plustache, LCSW
• Raymond L Poirrier III, D.D.S.

• General Practice Dentistry in Slidell, LA
• Providers in Slidell, 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 May 12, 2008; 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.