Paul Cade Hargis, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4882 Issued in LA

Practice address

20970 Highway 167
Dry Prong, LA 71423-3468

Phone

(318) 640-5055

Fax

(318) 640-3866

NPI assigned

Jun 16, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629012984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20970 HIGHWAY 167",
            "city": "DRY PRONG",
            "state": "LA",
            "postal_code": "714233468",
            "telephone_number": "318-640-5055",
            "fax_number": "318-640-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20970 HIGHWAY 167",
            "city": "DRY PRONG",
            "state": "LA",
            "postal_code": "714233468",
            "telephone_number": "318-640-5055",
            "fax_number": "318-640-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGIS",
        "first_name": "PAUL",
        "middle_name": "CADE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "4882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1848824",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dry Prong Family Clinic, LLC (Dry Prong Family Clinic)
• Sheri Duffy
• Anna Eyer
• Yvie Fry
• Dana Renee Guirlando, DNP, FNP-C
• Kyle Hayes
• Healthy Outlook Management Enterprises (Airbase Road Clinic)
• Lauren Heaton, FNP-C
• Jeanne Shamblin Consulting
• Kelsey Layssard

• General Practice Dentistry in Dry Prong, LA
• Providers in Dry Prong, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.