NPIMap

Organization Active NPI

DRS Michael Gambill and Corey Cloud LLC

Doing business as Pediatric Dentistry of Cenla

  • Pediatric Dentistry
  • Bossier City, LA
National Provider Identifier
1750159737
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
DRS MICHAEL GAMBILL AND COREY CLOUD LLC
Doing business as
Pediatric Dentistry of Cenla
Pediatric Dentistry of Minden
Pediatric Dentistry of Natchitoches3 more in Other names
Practice address
4325 Airline Dr
Bossier City, LA 71111-3465
Phone
(318) 742-9333
NPI assigned
Dec 19, 2023
Last updated
Sep 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Authorized official

Name
Kristal Patterson
Title
Office Manager
Phone
(318) 742-9333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

4325 Airline Dr
Bossier City, LA 71111-3465

Mailing address

4325 Airline Dr
Bossier City, LA 71111-2003
Phone (318) 742-9333

Other practice location 1

2235 S MacArthur Dr Ste B
Alexandria, LA 71301-3063
Phone (318) 473-9544

Other practice location 2

116 Homer Rd
Minden, LA 71055-2732
Phone (318) 742-9333

Other practice location 3

2025 Farmerville Hwy
Ruston, LA 71270-3009
Phone (318) 254-1287

Other practice location 4

940 Keyser Ave
Natchitoches, LA 71457-6337
Phone (318) 522-8047

Other practice location 5

6930 Fern Ave Ste 200
Shreveport, LA 71105-4172
Phone (318) 797-7551

Other practice location 6

1003 S Spruce St
Vivian, LA 71082-3200
Phone (318) 374-1575

Other names 6

  • Pediatric Dentistry of Cenla Doing business as
  • Pediatric Dentistry of Minden Doing business as
  • Pediatric Dentistry of Natchitoches Doing business as
  • Pediatric Dentistry of Ruston Doing business as
  • Pediatric Dentistry of Shreveport-Bossier Doing business as
  • Pediatric Dentistry of Vivian Doing business as

National Provider Directory

National Provider Directory

Locations

616 MacArthur Dr
#B
Alexandria, LA 71303
Phone (318) 473-9544

4325 Airline Dr
Bossier City, LA 71111
Phone (318) 742-9333

940 Keyser Ave
Natchitoches, LA 71457
Phone (318) 522-8047

6930 Fern Ave
Shreveport, LA 71105
Phone (318) 742-9333

6930 Fern Ave
Ste 200
Shreveport, LA 71105
Phone (318) 797-7551

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1750159737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 AIRLINE DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112003",
            "telephone_number": "318-742-9333",
            "fax_number": "318-702-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 AIRLINE DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113465",
            "telephone_number": "318-742-9333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2235 S MacArthur Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713013063",
            "country_code": "US",
            "telephone_number": "318-473-9544",
            "fax_number": "318-401-1501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "116 Homer Rd",
            "address_purpose": "LOCATION",
            "city": "Minden",
            "state": "LA",
            "postal_code": "710552732",
            "country_code": "US",
            "telephone_number": "318-742-9333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2025 Farmerville Hwy",
            "address_purpose": "LOCATION",
            "city": "Ruston",
            "state": "LA",
            "postal_code": "712703009",
            "country_code": "US",
            "telephone_number": "318-254-1287",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "940 Keyser Ave",
            "address_purpose": "LOCATION",
            "city": "Natchitoches",
            "state": "LA",
            "postal_code": "714576337",
            "country_code": "US",
            "telephone_number": "318-522-8047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6930 Fern Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711054172",
            "country_code": "US",
            "telephone_number": "318-797-7551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1003 S Spruce St",
            "address_purpose": "LOCATION",
            "city": "Vivian",
            "state": "LA",
            "postal_code": "710823200",
            "country_code": "US",
            "telephone_number": "318-374-1575",
            "fax_number": "318-702-8001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DRS MICHAEL GAMBILL AND COREY CLOUD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "KRISTAL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "318-742-9333"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Dentistry of Cenla",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatric Dentistry of Minden",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatric Dentistry of Natchitoches",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatric Dentistry of Ruston",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatric Dentistry of Ruston",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatric Dentistry of Shreveport-Bossier",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatric Dentistry of Vivian",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.