Organization Active NPI

Houma Smile Center

  • General Practice Dentistry
  • Houma, LA
National Provider Identifier
1548612930
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5591 Issued in LA
Legal business name
HOUMA SMILE CENTER
Practice address
720 Verret St
Houma, LA 70360-4634
Phone
(504) 388-1023
NPI assigned
Jul 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Authorized official

Name
Michelle Vanbenschoten
Title
Manager
Phone
(870) 834-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5591 LA Primary

Addresses

Primary practice location

720 Verret St
Houma, LA 70360-4634

Mailing address

3330 Kingman St
Suite III
Metairie, LA 70006-4235
Phone (800) 864-1582

National Provider Directory

National Provider Directory
Tax ID family
Dental Smile Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

720 Verret St
Houma, LA 70360
Phone (985) 868-7470

3330 Kingman St
Ste Iii
Metairie, LA 70006
Phone (504) 887-8480

NPI Registry JSON

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1548612930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 KINGMAN ST",
            "address_2": "SUITE III",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064235",
            "telephone_number": "800-864-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 VERRET ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604634",
            "telephone_number": "504-388-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUMA SMILE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "VANBENSCHOTEN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "870-834-3000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5591",
            "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 Jul 8, 2016; 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.