NPIMap

Organization Active NPI

Belle Chasse Dental Center LLC

  • Dentist
  • Belle Chasse, LA
National Provider Identifier
1417278391
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5437 Issued in LA
Legal business name
BELLE CHASSE DENTAL CENTER LLC
Practice address
8000 Highway 23
Belle Chasse, LA 70037-2442
Phone
(504) 391-0000
Fax
(504) 391-3737
NPI assigned
Jun 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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

Authorized official

Name
Dr. Ivonne I Castro, D.D.S.NPI 1700941630
Title
Owner
Phone
(504) 391-0000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 5437 LA Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 5625 LA
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 5699 LA

Addresses

Primary practice location

8000 Highway 23
Belle Chasse, LA 70037-2442

Mailing address

8000 Highway 23
Belle Chasse, LA 70037-2442
Phone (504) 391-0000

Other identifiers 3

IdentifierTypeStateIssuer
1856258MedicaidLA
1854379MedicaidLA
1856991MedicaidLA

Other names 1

  • Ivonne I. Castro D.D.S Other name

National Provider Directory

National Provider Directory

Locations

8000 Highway 23
Belle Chasse, LA 70037
Phone (504) 391-0000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1417278391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 HIGHWAY 23",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "700372442",
            "telephone_number": "504-391-0000",
            "fax_number": "504-391-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 HIGHWAY 23",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "700372442",
            "telephone_number": "504-391-0000",
            "fax_number": "504-391-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLE CHASSE DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-15",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "IVONNE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-391-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "LA",
            "license": "5437",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "LA",
            "license": "5625",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "LA",
            "license": "5699",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1856258",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1854379",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1856991",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ivonne I. Castro D.D.S",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Belle Chasse, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.