Active NPI
Daniela Schwambach Kano Eversgerd, D.M.D.
- Dentist
- Madisonville, LA
National Provider Identifier
1477765428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6434
- Practice address
- 400 Pine St
Madisonville, LA 70447-9743 - Phone
- (985) 845-8042
- NPI assigned
- May 3, 2007
- Last updated
- Jun 21, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9154 | CT | |
| Dentist | 122300000X | 6434 | LA | Primary |
Addresses
Primary practice location
400 Pine St
Madisonville, LA 70447-9743
Mailing address
103 Rosedown Way
Mandeville, LA 70471-8219
Phone (985) 237-2750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6434 | LA | MD | Dentist |
| 9154 | CT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allure Dental by Daniela SK Eversgerd DMD LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Allure Dental
- Dentist
- Mandeville, LA
- NPI 1720430556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466467200000",
"number": "1477765428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 ROSEDOWN WAY",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704718219",
"telephone_number": "985-237-2750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 PINE ST",
"city": "MADISONVILLE",
"state": "LA",
"postal_code": "704479743",
"telephone_number": "985-845-8042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERSGERD",
"first_name": "DANIELA",
"middle_name": "SCHWAMBACH KANO",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2016-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "9154",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "6434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madisonville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.