Active NPI
Lsu Health Sciences Center Lsu Faculty Dental Practice
- Pediatric Dentistry
- Metairie, LA
National Provider Identifier
1528280641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- LSU HEALTH SCIENCES CENTER LSU FACULTY DENTAL PRACTICE
- Practice address
- 3800 Houma Blvd
Suite 305
Metairie, LA 70006-4182 - Phone
- (504) 889-9893
- Fax
- (504) 889-9895
- NPI assigned
- May 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Christine K Osburn
- Title
- Assistant Office Manager
- Phone
- (504) 889-9893
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | LA | Primary |
Addresses
Primary practice location
3800 Houma Blvd
Suite 305
Metairie, LA 70006-4182
Mailing address
3800 Houma Blvd
Suite 305
Metairie, LA 70006-4182
Phone (504) 889-9893
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1880591 | Medicaid | LA |
National Provider Directory
National Provider Directory- Tax ID family
- Lsu Health Sciences Center Lsu Faculty Dental Practice
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oral and Maxillofacial Pathology Dentistry
- New Orleans, LA
- NPI 1154543288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1528280641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 HOUMA BLVD",
"address_2": "SUITE 305",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700064182",
"telephone_number": "504-889-9893",
"fax_number": "504-889-9895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 HOUMA BLVD",
"address_2": "SUITE 305",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700064182",
"telephone_number": "504-889-9893",
"fax_number": "504-889-9895"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LSU HEALTH SCIENCES CENTER LSU FACULTY DENTAL PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "OSBURN",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "ASSISTANT OFFICE MANAGER",
"authorized_official_telephone_number": "504-889-9893",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1880591",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- 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.