Twinklingsmiles of Oakdale

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

5856 Issued in LA

Legal business name

TWINKLINGSMILES OF OAKDALE

Practice address

200 N 15TH St
Oakdale, LA 71463-2732

Phone

(202) 215-4731

NPI assigned

Jun 1, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Katina Rene BeverlyNPI 1154527018

Title

Pediatric Dentist

Phone

(202) 215-4731

Specialties & licenses 2

Addresses

Locations

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.

• Katina Rene Beverly, D.D.S.

  • Pediatric Dentistry
  • Monroe, LA
  • NPI 1154527018
  NPD (past) Authorized official

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1568842987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N 15TH ST",
            "city": "OAKDALE",
            "state": "LA",
            "postal_code": "714632732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N 15TH ST",
            "city": "OAKDALE",
            "state": "LA",
            "postal_code": "714632732",
            "telephone_number": "202-215-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWINKLINGSMILES OF OAKDALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "BEVERLY",
        "authorized_official_first_name": "KATINA",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "12022154731",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "LA",
            "license": "5856",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "LA",
            "license": "5857",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Vidrine Group, LLC
• Mika Thompson, FNP-C
• Thrift City Family Pharmacy
• Demeteria Rochelle Tolbert
• Truth Faith 3 LLC
• Cindy F Vidrine Reed, RAC
• Charles Remie Vidrine Jr., MD
• Vision Clinic LLC
• Malikah Wade
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1107)

• Pediatric Dentistry in Oakdale, LA
• Providers in Oakdale, LA by specialty
• Pediatric Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; 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.