Organization Active NPI

Corey J Porche DDS LLC

  • Dentist
  • Houma, LA
National Provider Identifier
1508908146
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5582 Issued in LA
Legal business name
COREY J PORCHE DDS LLC
Practice address
103 Southdown West Blvd
Houma, LA 70360-3943
Phone
(985) 876-5564
Fax
(985) 876-5589
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Mr. Corey J Porche, DDSNPI 1487903365
Title
Dentist
Phone
(985) 876-2439

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5582 LA Primary

Addresses

Primary practice location

103 Southdown West Blvd
Houma, LA 70360-3943

Mailing address

103 Southdown West Blvd
Houma, LA 70360-3943
Phone (985) 876-5564

National Provider Directory

National Provider Directory

Locations

114 Westside Blvd
Houma, LA 70364
Phone (985) 876-2439

103 Southdown West Blvd
Houma, LA 70360
Phone (985) 876-5564

Practitioners & affiliated clinicians

Practitioners 3

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": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1508908146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SOUTHDOWN WEST BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703603943",
            "telephone_number": "985-876-5564",
            "fax_number": "985-876-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SOUTHDOWN WEST BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703603943",
            "telephone_number": "985-876-5564",
            "fax_number": "985-876-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREY J PORCHE DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "PORCHE",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "985-876-2439",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "LA",
            "license": "5582",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 4, 2026; 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.