NPIMap

Organization Active NPI

Greenwell Springs Family Dentistry

  • Dental Clinic/Center
  • Greenwell Springs, LA
National Provider Identifier
1730775685
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GREENWELL SPRINGS FAMILY DENTISTRY
Practice address
14127 Greenwell Springs Rd Ste a
Greenwell Springs, LA 70739-3305
Phone
(225) 261-0043
NPI assigned
Dec 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Authorized official

Name
Alisha M Ross
Title
Office Manager
Phone
(225) 287-4048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

14127 Greenwell Springs Rd Ste a
Greenwell Springs, LA 70739-3305

Mailing address

14127 Greenwell Springs Rd Ste a
Greenwell Springs, LA 70739-3305
Phone (225) 261-0043

National Provider Directory

National Provider Directory

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": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1730775685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14127 GREENWELL SPRINGS RD STE A",
            "city": "GREENWELL SPRINGS",
            "state": "LA",
            "postal_code": "707393305",
            "telephone_number": "225-261-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14127 GREENWELL SPRINGS RD STE A",
            "city": "GREENWELL SPRINGS",
            "state": "LA",
            "postal_code": "707393305",
            "telephone_number": "225-261-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWELL SPRINGS FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "ALISHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "225-287-4048"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwell Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.