NPIMap

Organization Active NPI

Sensational Smiles, LLC

  • Dentist
  • Lafayette, LA
National Provider Identifier
1639343726
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5321 Issued in LA
Legal business name
SENSATIONAL SMILES, LLC
Practice address
113 Derby LN
Lafayette, LA 70508-5977
Phone
(337) 993-0303
NPI assigned
Apr 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Tahisa ColbertNPI 1245304187
Title
Dentist/Owner
Phone
(913) 485-5238

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5321 LA Primary

Addresses

Primary practice location

113 Derby LN
Lafayette, LA 70508-5977

Mailing address

807 Albertson Pkwy Ste a
Broussard, LA 70518-5096

National Provider Directory

National Provider Directory

Locations

807 Albertson Pkwy
Ste A
Broussard, LA 70518

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1639343726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 ALBERTSON PKWY STE A",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705185096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 DERBY LN",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085977",
            "telephone_number": "337-993-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENSATIONAL SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "TAHISA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "913-485-5238"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "LA",
            "license": "5321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.