NPIMap

Organization Active NPI

Cuddle Kids Dental Care of Shreveport, LLC

  • Pediatric Dentistry
  • Shreveport, LA
National Provider Identifier
1770028946
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
6416 Issued in LA
Legal business name
CUDDLE KIDS DENTAL CARE OF SHREVEPORT, LLC
Practice address
2433 E 70TH St
Suite a
Shreveport, LA 71105-4787
Phone
(318) 564-0595
NPI assigned
Dec 27, 2016
Last updated
Dec 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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

Authorized official

Name
Dr. Chrishelle Williams Hemphill, D.D.S., M.B.A.NPI 1659523348
Title
Pediatric Dentist/Owner
Phone
(318) 564-0595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 6416 LA Primary

Addresses

Primary practice location

2433 E 70TH St
Suite a
Shreveport, LA 71105-4787

Mailing address

2433 E 70TH St
Suite a
Shreveport, LA 71105-4787
Phone (318) 564-0595

Other identifiers 1

IdentifierTypeStateIssuer
1659523348MedicaidLA

National Provider Directory

National Provider Directory

Locations

2433 E 70th St
Ste A
Shreveport, LA 71105
Phone (318) 564-0595

Practitioners & affiliated clinicians

Practitioners 1

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": "1482796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482796800000",
    "number": "1770028946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2433 E 70TH ST",
            "address_2": "SUITE A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711054787",
            "telephone_number": "318-564-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2433 E 70TH ST",
            "address_2": "SUITE A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711054787",
            "telephone_number": "318-564-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUDDLE KIDS DENTAL CARE OF SHREVEPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-27",
        "last_updated": "2016-12-27",
        "status": "A",
        "authorized_official_last_name": "HEMPHILL",
        "authorized_official_first_name": "CHRISHELLE",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST/OWNER",
        "authorized_official_telephone_number": "318-564-0595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.B.A."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "LA",
            "license": "6416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659523348",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; 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.