NPIMap

Organization Active NPI

Ross H Dies DDS and J Cody Cowen DDS a Dental LLC

Doing business as Shreveport Family Dental Care

  • Clinic/Center
  • Shreveport, LA
National Provider Identifier
1447360524
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ROSS H DIES DDS AND J CODY COWEN DDS A DENTAL LLC
Doing business as
Shreveport Family Dental Care
Practice address
910 Bert Kouns Industrial Loop
Shreveport, LA 71118
Phone
(318) 686-7470
Fax
(318) 686-4505
NPI assigned
Aug 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ross Henry Dies, DDSNPI 1457455008
Title
General Dentist
Phone
(318) 686-7470

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

910 Bert Kouns Industrial Loop
Shreveport, LA 71118

Mailing address

910 Bert Kouns Industrial Loop
Shreveport, LA 71118
Phone (318) 686-7470

Other names 1

  • Shreveport Family Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

910 Bert Kouns Industrial Loop
Shreveport, LA 71118
Phone (318) 686-7470

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447360524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 BERT KOUNS INDUSTRIAL LOOP",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71118",
            "telephone_number": "318-686-7470",
            "fax_number": "318-686-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 BERT KOUNS INDUSTRIAL LOOP",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71118",
            "telephone_number": "318-686-7470",
            "fax_number": "318-686-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS H DIES DDS AND J CODY COWEN DDS A DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIES",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "318-686-7470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shreveport Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.