NPIMap

Organization Active NPI

Jeanne M Reeves DDS Professional Dental Corp

  • Dentist
  • Slidell, LA
National Provider Identifier
1699829036
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2750 Issued in LA
Legal business name
JEANNE M REEVES DDS PROFESSIONAL DENTAL CORP
Practice address
102 Smart Place
Slidell, LA 70458
Phone
(985) 641-4005
Fax
(985) 649-0949
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Dr. Jeanne M Reeves, DDS
Title
President
Phone
(985) 641-4005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2750 LA Primary

Addresses

Primary practice location

102 Smart Place
Slidell, LA 70458

Mailing address

102 Smart Place
Slidell, LA 70458
Phone (985) 641-4005

National Provider Directory

National Provider Directory

Locations

102 Smart Pl
Slidell, LA 70458
Phone (985) 641-4005

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": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1699829036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SMART PLACE",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "70458",
            "telephone_number": "985-641-4005",
            "fax_number": "985-649-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SMART PLACE",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "70458",
            "telephone_number": "985-641-4005",
            "fax_number": "985-649-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNE M REEVES DDS PROFESSIONAL DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-641-4005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "LA",
            "license": "2750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.