NPIMap

Organization Active NPI

Russell Schafer Dental Clinic LLC

Doing business as NOLA Dentures and General Dentistry

  • General Practice Dentistry
  • Gretna, LA
National Provider Identifier
1588355838
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RUSSELL SCHAFER DENTAL CLINIC LLC
Doing business as
NOLA Dentures and General Dentistry
Practice address
816 Behrman Hwy
Gretna, LA 70056-4546
Phone
(504) 392-5104
NPI assigned
May 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Authorized official

Name
Dr. Russell SchaferNPI 1255772018
Title
Owner
Phone
(985) 502-3314

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

816 Behrman Hwy
Gretna, LA 70056-4546

Mailing address

816 Behrman Hwy
Gretna, LA 70056-4546
Phone (504) 392-5104

Other names 1

  • NOLA Dentures and General Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

816 Behrman Hwy
Terrytown, LA 70056
Phone (504) 392-5104

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1588355838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 BEHRMAN HWY",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700564546",
            "telephone_number": "504-392-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 BEHRMAN HWY",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700564546",
            "telephone_number": "504-392-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL SCHAFER DENTAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "SCHAFER",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-502-3314",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOLA Dentures and General Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NOLA Dentures and General Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.