NPIMap

Organization Active NPI

Deep South Family Dentistry

  • Dentist
  • Ponchatoula, LA
National Provider Identifier
1508392069
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5258 Issued in LA
Legal business name
DEEP SOUTH FAMILY DENTISTRY
Practice address
1160 Hwy 51 North
Ponchatoula, LA 70454
Phone
(985) 386-9936
NPI assigned
May 3, 2017
Last updated
May 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Authorized official

Name
Gregg May
Title
Owner/Dentist
Phone
(985) 386-9936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5258 LA Primary

Addresses

Primary practice location

1160 Hwy 51 North
Ponchatoula, LA 70454

Mailing address

1160 Hwy 51 North
Ponchatoula, LA 70454
Phone (985) 386-9936

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1508392069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 HWY 51 NORTH",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "70454",
            "telephone_number": "985-386-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 HWY 51 NORTH",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "70454",
            "telephone_number": "985-386-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEP SOUTH FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "985-386-9936"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "5258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponchatoula, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.