Organization Active NPI

Dental Health Clinic, Inc.

  • General Practice Dentistry
  • Shreveport, LA
National Provider Identifier
1619181609
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5573 Issued in LA
Legal business name
DENTAL HEALTH CLINIC, INC.
Practice address
3330 Youree Dr
Shreveport, LA 71105-2116
Phone
(318) 861-9227
Fax
(318) 866-9555
NPI assigned
May 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Monika Kumar, DDSNPI 1811043714
Title
Dentist
Phone
(318) 861-9227

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5573 LA Primary

Addresses

Primary practice location

3330 Youree Dr
Shreveport, LA 71105-2116

Mailing address

3330 Youree Dr
Shreveport, LA 71105-2116
Phone (318) 861-9227

National Provider Directory

National Provider Directory

Locations

3330 Youree Dr
Shreveport, LA 71105
Phone (318) 286-6969

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619181609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 YOUREE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052116",
            "telephone_number": "318-861-9227",
            "fax_number": "318-866-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 YOUREE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052116",
            "telephone_number": "318-861-9227",
            "fax_number": "318-866-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "318-861-9227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.