Organization Active NPI

Stacie L Noe, DDS, Apdc

  • General Practice Dentistry
  • Hammond, LA
National Provider Identifier
1598893091
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
STACIE L NOE, DDS, APDC
Practice address
212 W Minnesota Park Rd
Hammond, LA 70403-6125
Phone
(985) 542-3368
Fax
(985) 543-3335
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Authorized official

Name
Dr. Stacie Lynn Noe, D.D.S.NPI 1134347552
Title
Dentist-Co-Owner
Phone
(985) 542-3368

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

212 W Minnesota Park Rd
Hammond, LA 70403-6125

Mailing address

212 W Minnesota Park Rd
Hammond, LA 70403-6125
Phone (985) 542-3368

Other identifiers 1

IdentifierTypeStateIssuer
1880981MedicaidLA

Other names 1

  • Dental Care Associates Doing business as

National Provider Directory

National Provider Directory

Locations

212 W Minnesota Park Rd
Hammond, LA 70403
Phone (985) 542-3368

Practitioners & affiliated clinicians

Practitioners 1

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1598893091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W MINNESOTA PARK RD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704036125",
            "telephone_number": "985-542-3368",
            "fax_number": "985-543-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W MINNESOTA PARK RD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704036125",
            "telephone_number": "985-542-3368",
            "fax_number": "985-543-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACIE L NOE, DDS, APDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "NOE",
        "authorized_official_first_name": "STACIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DENTIST-CO-OWNER",
        "authorized_official_telephone_number": "985-542-3368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1880981",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dental Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.