Theriot Family Dental Care II

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5429 Issued in LA

Legal business name

THERIOT FAMILY DENTAL CARE II

Practice address

112 Church Alley
New Iberia, LA 70560

Phone

(337) 369-6587

Fax

(337) 369-3815

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Charles Theriot, DDS

Title

Owner Dentist

Phone

(337) 984-3408

Specialties & licenses 1

Addresses

Tax ID family

Louisiana Dental Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Louisiana Dental Group, Inc,

  • General Practice Dentistry
  • Lafayette, LA
  • NPI 1942442769
  NPD tax ID

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487790929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 CHURCH ALLEY",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "70560",
            "telephone_number": "337-369-6587",
            "fax_number": "337-369-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 CHURCH ALLEY",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "70560",
            "telephone_number": "337-369-6587",
            "fax_number": "337-369-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERIOT FAMILY DENTAL CARE II",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THERIOT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "337-984-3408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Arc of Iberia, Inc.
• The Arc of Iberia, Inc.
• The Arc of Iberia, Inc.
• The Urology Clinic
• Theriot Family Chiropractic Center
• Tina M Theriot, DC
• Pamela Thibeaux
• Andrea B Thibodeaux, RPH
• Brooke Thibodeaux
• Christopher Thibodeaux

• General Practice Dentistry in New Iberia, LA
• Providers in New Iberia, 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 Aug 22, 2020; 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.