NPIMap

Organization Active NPI

Emile T. Geneux Iidds, Benjamin a. Beach DDS, and Ross H. Dies DDS, LL

Doing business as Sterling Dental Center

  • General Practice Dentistry
  • Shreveport, LA
National Provider Identifier
1487166450
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EMILE T. GENEUX IIDDS, BENJAMIN A. BEACH DDS, AND ROSS H. DIES DDS, LL
Doing business as
Sterling Dental Center
Practice address
2533 Bert Koun Loop Ste 107
Shreveport, LA 71118-3158
Phone
(318) 688-1040
Fax
(318) 688-3039
NPI assigned
Oct 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

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

Authorized official

Name
Candace S McCoy
Title
Team Leader
Phone
(318) 688-1040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X LA Primary

Addresses

Primary practice location

2533 Bert Koun Loop Ste 107
Shreveport, LA 71118-3158

Mailing address

2533 Bert Koun Loop Ste 107
Shreveport, LA 71118-3158
Phone (318) 688-1040

Other names 1

  • STERLING DENTAL CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

2533 Bert Kouns Industrial Loop
Ste 107
Shreveport, LA 71118
Phone (318) 688-1040

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1487166450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2533 BERT KOUN LOOP STE 107",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183158",
            "telephone_number": "318-688-1040",
            "fax_number": "318-688-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2533 BERT KOUN LOOP STE 107",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183158",
            "telephone_number": "318-688-1040",
            "fax_number": "318-688-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILE T. GENEUX IIDDS, BENJAMIN A. BEACH DDS, AND ROSS H. DIES DDS, LL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "TEAM LEADER",
        "authorized_official_telephone_number": "318-688-1040"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STERLING DENTAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 31, 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.