NPIMap

Organization Active NPI

Adh-Port Vincent, LLC

Doing business as Port Vincent Dental Care

  • General Practice Dentistry
  • Port Vincent, LA
National Provider Identifier
1497006522
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4818 Issued in LA
Legal business name
ADH-PORT VINCENT, LLC
Doing business as
Port Vincent Dental Care
Practice address
18335 La Highway 42
Port Vincent, LA 70726-8025
Phone
(225) 698-9510
NPI assigned
Sep 28, 2012
Last updated
Jan 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Authorized official

Name
Dr. Carlos Suadi, DDSNPI 1154402261
Title
Owner/Dentist
Phone
(225) 753-5885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4818 LA Primary

Addresses

Primary practice location

18335 La Highway 42
Port Vincent, LA 70726-8025

Mailing address

15420 S Harrells Ferry Rd
Suite C
Baton Rouge, LA 70816-2933
Phone (225) 753-5885

Other names 1

  • Port Vincent Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

18335 LA Highway 42
Port Vincent, LA 70726
Phone (225) 698-3590

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1497006522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15420 S HARRELLS FERRY RD",
            "address_2": "SUITE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162933",
            "telephone_number": "225-753-5885",
            "fax_number": "225-753-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18335 LA HIGHWAY 42",
            "city": "PORT VINCENT",
            "state": "LA",
            "postal_code": "707268025",
            "telephone_number": "225-698-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADH-PORT VINCENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-28",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "SUADI",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "225-753-5885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "4818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Port Vincent Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Vincent, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.