NPIMap

Organization Active NPI

Horseshoe Dental LLC

  • Dentist
  • Minden, LA
National Provider Identifier
1609223833
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5738 Issued in LA
Legal business name
HORSESHOE DENTAL LLC
Practice address
164 Country Club Circle
Suite a
Minden, LA 71055-7502
Phone
(318) 639-9559
Fax
(318) 639-9560
NPI assigned
May 18, 2016
Last updated
May 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Authorized official

Name
Eddy Waller Sherman II, DDS
Title
Dentist
Phone
(318) 228-9911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5738 LA Primary

Addresses

Primary practice location

164 Country Club Circle
Suite a
Minden, LA 71055-7502

Mailing address

164 Country Club Circle
Suite a
Minden, LA 71055-7502
Phone (318) 639-9559

Other identifiers 1

IdentifierTypeStateIssuer
5738OtherLADENTIST

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1609223833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 COUNTRY CLUB CIRCLE",
            "address_2": "SUITE A",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710557502",
            "telephone_number": "318-639-9559",
            "fax_number": "318-639-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 COUNTRY CLUB CIRCLE",
            "address_2": "SUITE A",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710557502",
            "telephone_number": "318-639-9559",
            "fax_number": "318-639-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORSESHOE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "EDDY",
        "authorized_official_middle_name": "WALLER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "318-228-9911",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "5738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "5738",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.