Individual provider Active NPI

Michael Sonny Dai, DDS

  • General Practice Dentistry
  • Slidell, LA
National Provider Identifier
1396360285
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7059 Issued in LA
Practice address
640 Brownswitch Rd
Slidell, LA 70458-1234
Phone
(985) 643-2828
NPI assigned
Jun 16, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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 7059 LA Primary

Addresses

Primary practice location

640 Brownswitch Rd
Slidell, LA 70458-1234

Mailing address

440 S Military Rd Apt 26
Slidell, LA 70461-2647
Phone (318) 344-1135

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
7059LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Julio C Marin Jr DDS LLC CurrentSince May 8, 2022 Accepting new patients
Pousson Family Dentistry, PLC PastSince Jun 21, 2020 Accepting new patients

Locations

640 Brownswitch Rd
Slidell, LA 70458
Phone (985) 605-7632

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": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1396360285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 S MILITARY RD APT 26",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704612647",
            "telephone_number": "318-344-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 BROWNSWITCH RD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704581234",
            "telephone_number": "985-643-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAI",
        "first_name": "MICHAEL",
        "middle_name": "SONNY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "7059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.