NPIMap

Organization Active NPI

A G Family Dentistry LLC

  • Dentist
  • Alexandira, LA
National Provider Identifier
1558723312
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6354 Issued in LA
Legal business name
A G FAMILY DENTISTRY LLC
Practice address
4017 Parliament Dr St B
Alexandira, LA 71303-3018
Phone
(318) 442-4430
Fax
(318) 442-7705
NPI assigned
Mar 22, 2016
Last updated
Mar 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Authorized official

Name
Anil K GuptaNPI 1215270632
Title
Owner
Phone
(318) 442-4430

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
Dentist 122300000X 6354 LA Primary

Addresses

Primary practice location

4017 Parliament Dr St B
Alexandira, LA 71303-3018

Mailing address

4017 Parliament Dr St B
Alexandira, LA 71303-3018
Phone (318) 442-4430

National Provider Directory

National Provider Directory

Locations

4017 Parliament Dr
#B
Alexandria, LA 71303
Phone (318) 442-4430

4017 Parliament Dr
Ste B
Alexandria, LA 71303
Phone (318) 442-4430

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1558723312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 PARLIAMENT DR ST B",
            "city": "ALEXANDIRA",
            "state": "LA",
            "postal_code": "713033018",
            "telephone_number": "318-442-4430",
            "fax_number": "318-442-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4017 PARLIAMENT DR ST B",
            "city": "ALEXANDIRA",
            "state": "LA",
            "postal_code": "713033018",
            "telephone_number": "318-442-4430",
            "fax_number": "318-442-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A G FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "ANIL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-442-4430"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.