Individual provider Active NPI

Sabrina Portwood, DDS

  • Dentist
  • Baton Rouge, LA
National Provider Identifier
1417448192
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6879 Issued in LA
Practice address
9069 Siegen LN
Baton Rouge, LA 70810-1951
Phone
(225) 766-8371
NPI assigned
May 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6879 LA Primary

Addresses

Primary practice location

9069 Siegen LN
Baton Rouge, LA 70810-1951

Mailing address

9069 Siegen LN
Baton Rouge, LA 70810-1951
Phone (225) 766-8371

Other names 1

  • Dr. Sabrina Portwood O'Shee Professional name

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
6879LAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1417448192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9069 SIEGEN LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101951",
            "telephone_number": "225-766-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9069 SIEGEN LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101951",
            "telephone_number": "225-766-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTWOOD",
        "first_name": "SABRINA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SABRINA",
            "last_name": "O'SHEE",
            "middle_name": "PORTWOOD",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.