Stephanie Barlow DDS LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

STEPHANIE BARLOW DDS LLC

Doing business as

Northshore Pediatric Dentistry

Practice address

102 Fontainbleau Dr Ste F2
Mandeville, LA 70471-6519

Phone

(985) 317-0656

NPI assigned

Nov 8, 2023

Last updated

Nov 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie F. Barlow, DDSNPI 1255627303

Title

Owner

Phone

(864) 641-5511

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Northshore Pediatric Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie F. Barlow, DDS

  • Pediatric Dentistry
  • Mandeville, LA
  • NPI 1255627303
  NPD Authorized official
• Deborah Yim

  • Pediatric Dentistry
  • Hammond, LA
  • NPI 1063865285
  NPD

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1720852973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 FONTAINBLEAU DR STE F2",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704716519",
            "telephone_number": "985-317-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 FONTAINBLEAU DR STE F2",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704716519",
            "telephone_number": "985-317-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE BARLOW DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "BARLOW",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-641-5511",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063865285",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255627303",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northshore Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosemary A Stagg, RN FNPC
• Aimee Starnes
• Start Corporation (Start Community Health Center)
• Olivia Ann Stassen, DDS
• Bruce Allen Steinberg, MS., LPC, LAC
• Jann Marie Stevens, LMT
• Stephanie Catherine-Olivia Stevens
• Keshauna Yvette Stewart
• Martha E Stewart, MD
• Rachel Marie Stoehr

• Pediatric Dentistry in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Pediatric Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.