Organization Active NPI

Smart Dental Care, LLC

  • General Practice Dentistry
  • Denham Springs, LA
National Provider Identifier
1457806317
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5491 Issued in LA
Legal business name
SMART DENTAL CARE, LLC
Practice address
34659 La Highway 16
Denham Springs, LA 70706-0667
Phone
(225) 405-5066
Fax
(225) 677-9993
NPI assigned
Aug 22, 2016
Last updated
Jan 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Dr. Jeremy Emmett Moore, D.D.S.
Title
Owner/Doctor
Phone
(225) 405-5066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5491 LA Primary

Addresses

Primary practice location

34659 La Highway 16
Denham Springs, LA 70706-0667

Mailing address

6234 Riverine Dr
Baton Rouge, LA 70820-5058
Phone (225) 405-5066

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1457806317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6234 RIVERINE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708205058",
            "telephone_number": "225-405-5066",
            "fax_number": "225-677-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34659 LA HIGHWAY 16",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707060667",
            "telephone_number": "225-405-5066",
            "fax_number": "225-677-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "EMMETT",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "225-405-5066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.