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
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Daniel A Crawford, DDS
Title
Partner
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

2510 Bert Kouns Industrial Loop
Ste 215
Shreveport, LA 71118
Phone (318) 212-5970

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 3133 LA Primary

Addresses

NPPES NPI Registry

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 30, 2009.

{
    "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": "193400000X SINGLE SPECIALTY  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.