Individual provider Active NPI

Taro Miwa Digney, DDS

  • General Practice Dentistry
  • Bossier City, LA
National Provider Identifier
1699803650
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5764 Issued in LA
Practice address
2281 Benton Rd
Bossier City, LA 71111-3403
Phone
(318) 742-9852
Fax
(318) 742-2288
NPI assigned
Mar 1, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5764 LA Primary

Addresses

Primary practice location

2281 Benton Rd
Bossier City, LA 71111-3403

Mailing address

833 Fairview St
Shreveport, LA 71104-4227
Phone (504) 400-2672

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160201000266 LA Order and Referring Only - DentistPractitioner - Dentist 9638473325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham and Brigham Professional Past Accepting new patients
Brigham and Brigham Sleep Care General Practice PastSince Sep 15, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699803650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 FAIRVIEW ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711044227",
            "telephone_number": "504-400-2672",
            "fax_number": "318-742-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2281 BENTON RD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113403",
            "telephone_number": "318-742-9852",
            "fax_number": "318-742-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGNEY",
        "first_name": "TARO",
        "middle_name": "MIWA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.