NPIMap

Organization Active NPI

Pediatric Dental Partners, LLP

  • Pediatric Dentistry
  • Bossier City, LA
National Provider Identifier
1619203320
Registry record updated Oct 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
3133 Issued in LA
Legal business name
PEDIATRIC DENTAL PARTNERS, LLP
Practice address
4001 Viking Dr. Ste. a
Bossier City, LA 71111-7436
Phone
(318) 747-7020
Fax
(318) 747-2469
NPI assigned
Oct 30, 2009
Last updated
Oct 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2009

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

Authorized official

Name
Dr. Daniel A Crawford, DDS
Title
Partner
Phone
(318) 747-7020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 3133 LA Primary

Addresses

Primary practice location

4001 Viking Dr. Ste. a
Bossier City, LA 71111-7436

Mailing address

4001 Viking Dr. Ste. a
Bossier City, LA 71111-7436
Phone (318) 747-7020

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Dental Partners LLP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4001 Viking Dr
Ste A
Bossier City, LA 71111
Phone (318) 747-7020

NPI Registry JSON

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256860800000",
    "number": "1619203320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 VIKING DR. STE. A",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711117436",
            "telephone_number": "318-747-7020",
            "fax_number": "318-747-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 VIKING DR. STE. A",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711117436",
            "telephone_number": "318-747-7020",
            "fax_number": "318-747-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL PARTNERS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-30",
        "last_updated": "2009-10-30",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "318-747-7020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "LA",
            "license": "3133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; 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.