Individual provider Active NPI

Sapna Arvind Patel, DDS

  • Pediatric Dentistry
  • Houma, LA
National Provider Identifier
1508029257
Registry record updated Feb 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
5881 Issued in LA
Practice address
801 Barrow St Ste 317
Houma, LA 70360-4764
Phone
(985) 714-0983
NPI assigned
Jul 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5881 LA
Pediatric Dentistry 1223P0221X 5881 LA Primary

Addresses

Primary practice location

801 Barrow St Ste 317
Houma, LA 70360-4764

Mailing address

610 Jefferson Park Ave
Jefferson, LA 70121-1612
Phone (985) 688-9878

Other practice location 1

1115 Weber St
Franklin, LA 70538-4124
Phone (337) 828-2550 ext. 144

Other identifiers 1

IdentifierTypeStateIssuer
1858811MedicaidLA

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

LicenseStateTypeSpecialty
5881LAMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Pedosmiles LLC Pediatric Dentistry CurrentSince Dec 16, 2020 Accepting new patients

Locations

801 Barrow St
Ste 317
Houma, LA 70360
Phone (985) 714-0983

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550361600000",
    "number": "1508029257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 JEFFERSON PARK AVE",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701211612",
            "telephone_number": "985-688-9878",
            "fax_number": "985-241-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BARROW ST STE 317",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604764",
            "telephone_number": "985-714-0983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 Weber St",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "LA",
            "postal_code": "705384124",
            "country_code": "US",
            "telephone_number": "337-828-2550 x144",
            "fax_number": "337-355-2335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SAPNA",
        "middle_name": "ARVIND",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2019-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "5881",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "LA",
            "license": "5881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1858811",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2019; 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.