Individual provider Active NPI

Branford James Smith, DDS

  • Dentist
  • Houma, LA
National Provider Identifier
1437774148
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7082 Issued in LA
Practice address
5934 W Main St
Houma, LA 70360-1715
Phone
(504) 234-9180
NPI assigned
Jun 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7082 LA Primary

Addresses

Primary practice location

5934 W Main St
Houma, LA 70360-1715

Mailing address

503 Filmore St
Kenner, LA 70062-7813
Phone (985) 876-0448

Other practice location 1

4690 La-1
Raceland, LA 70394
Phone (504) 234-9180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200617002405 LA Order and Referring Only - DentistPractitioner - Dentist 4587086749

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kenner Dental Company LLC Current Accepting new patients

Organizations & group practices 1

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": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1437774148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 FILMORE ST",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700627813",
            "telephone_number": "985-876-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5934 W MAIN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703601715",
            "telephone_number": "504-234-9180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4690 LA-1",
            "address_purpose": "LOCATION",
            "city": "Raceland",
            "state": "LA",
            "postal_code": "70394",
            "country_code": "US",
            "telephone_number": "504-234-9180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRANFORD",
        "middle_name": "JAMES",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "7082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.