Palmer and Obrien Family Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PALMER AND OBRIEN FAMILY DENTISTRY, LLC

Practice address

6150 Line Ave
Shreveport, LA 71106-2051

Phone

(318) 868-5726

Fax

(318) 868-7546

NPI assigned

Oct 9, 2019

Organization subpart

No

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

Authorized official

Name

Tonya Lyman

Title

Insurance Coordinator

Phone

(318) 868-5726

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1467094789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711062051",
            "telephone_number": "318-868-5726",
            "fax_number": "318-868-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711062051",
            "telephone_number": "318-868-5726",
            "fax_number": "318-868-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMER AND OBRIEN FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "LYMAN",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "318-868-5726"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14481",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@robertpalmerdds.com",
            "affiliation": "N",
            "address_1": "6150 Line Ave",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711062051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anubha Paladugu, MD
• Matthew Palfreeman
• Gregory R Pallay, LPC , LMFT
• Lalitha Lalithya Pallempati, MBBS
• Palliative Care at Heart, LLC
• April Callaway Palmer, MD
• Barbara Palmer
• Eddrina Palmer, LCSW
• Erica Paige Palmer, PTS
• La'Neisha Hall Palmer, BA

• General Practice Dentistry in Shreveport, LA
• Providers in Shreveport, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.