Individual provider Active NPI

Holly Mouton Cantu, DDS

  • General Practice Dentistry
  • Denham Springs, LA
National Provider Identifier
1700366374
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6909 Issued in LA
Practice address
140 Veterans Blvd
Denham Springs, LA 70726-5100
Phone
(225) 330-7382
NPI assigned
Aug 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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 6909 LA Primary

Addresses

Primary practice location

140 Veterans Blvd
Denham Springs, LA 70726-5100

Mailing address

9462 Wyndham Way
Denham Springs, LA 70726-1843

Other practice location 1

32871 La Highway 16
Denham Springs, LA 70706-0960
Phone (225) 667-0037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6909LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
E Edward Hood Jr, DDS - Livingston, PLLC PastSince Oct 11, 2020 Accepting new patients
E Edward Hood DDS PC PastSince Oct 27, 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1700366374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9462 WYNDHAM WAY",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707261843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 VETERANS BLVD",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707265100",
            "telephone_number": "225-330-7382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32871 La Highway 16",
            "address_purpose": "LOCATION",
            "city": "Denham Springs",
            "state": "LA",
            "postal_code": "707060960",
            "country_code": "US",
            "telephone_number": "225-667-0037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTU",
        "first_name": "HOLLY",
        "middle_name": "MOUTON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.