Northshore Dental Associates LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NORTHSHORE DENTAL ASSOCIATES LLC

Doing business as

Deepsouth Family Dentistry

Practice address

1160 Highway 51
Ponchatoula, LA 70454-6365

Phone

(985) 386-9936

Fax

(985) 386-5712

NPI assigned

Dec 17, 2018

Organization subpart

No

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

Authorized official

Name

Jason S Chawla, DMD

Title

Owner

Phone

(985) 774-8104

Specialties & licenses 1

Addresses

Other names 1

• Deepsouth Family Dentistry Doing business as

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1588135404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 HIGHWAY 51",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704546365",
            "telephone_number": "985-386-9936",
            "fax_number": "985-386-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 HIGHWAY 51",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704546365",
            "telephone_number": "985-386-9936",
            "fax_number": "985-386-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "CHAWLA",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-774-8104",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deepsouth Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natural Ground Therapy
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• Kristii Normand
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• Northshore Anesthesia Practice, LLC
• Erika A Oliver, N.P.
• Eva Pape, COTA
• Parishes Supportive Living
• Parishes Supportive Living
• Parishes Supportive Living

• Dental Clinic/Center in Ponchatoula, LA
• Providers in Ponchatoula, LA by specialty
• Dental Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.