Organization Active NPI

TSD Kendall & Gengel Shreveport LLC

  • Dental Clinic/Center
  • Shreveport, LA
National Provider Identifier
1477400745
Registry record updated Mar 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TSD KENDALL & GENGEL SHREVEPORT LLC
Practice address
4354 Pines Rd
Shreveport, LA 71119-7738
Phone
(318) 635-1970
NPI assigned
Mar 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2026

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

Authorized official

Name
Mrs. Amber Hallum
Title
Office Manager
Phone
(903) 758-5551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4354 Pines Rd
Shreveport, LA 71119-7738

Mailing address

4354 Pines Rd
Shreveport, LA 71119-7738
Phone (318) 635-1970

National Provider Directory

National Provider Directory

Locations

4354 Pines Rd
Shreveport, LA 71119
Phone (318) 635-1970

NPI Registry JSON

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

{
    "created_epoch": "1773446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773446400000",
    "number": "1477400745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4354 PINES RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711197738",
            "telephone_number": "318-635-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4354 PINES RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711197738",
            "telephone_number": "318-635-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSD KENDALL & GENGEL SHREVEPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-14",
        "last_updated": "2026-03-14",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "HALLUM",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "903-758-5551",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 14, 2026; 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.