Individual provider Active NPI

Laura Eugenia Smith, DDS

  • Periodontics
  • Slidell, LA
National Provider Identifier
1457767220
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
6802 Issued in LA
Practice address
1414 Old Spanish TRL
Slidell, LA 70458-5022
Phone
(504) 330-0253
NPI assigned
Jul 1, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X 6802 LA Primary

Addresses

Primary practice location

1414 Old Spanish TRL
Slidell, LA 70458-5022

Mailing address

500 Joseph St
New Orleans, LA 70115-2040
Phone (504) 330-0253

Other names 1

  • Dr. Laura Porras Alonso Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ConnectURL

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
I20170816002672 LA Order and Referring Only - DentistPractitioner - Dentist 4486926060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6802LAMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1457767220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 JOSEPH ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701152040",
            "telephone_number": "504-330-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 OLD SPANISH TRL",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704585022",
            "telephone_number": "504-330-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LAURA",
        "middle_name": "EUGENIA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "LA",
            "license": "6802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ConnectURL",
            "affiliation": "N",
            "address_1": "1414 oLS SPANISH TRAIL",
            "city": "Slidell",
            "state": "LA",
            "country_code": "US",
            "postal_code": "70458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "ALONSO",
            "middle_name": "PORRAS",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.