Claudia Cavallino DDS, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

5392 Issued in LA

Legal business name

CLAUDIA CAVALLINO DDS, LLC

Doing business as

Bayou Children's Dental Center

Practice address

4752 Highway 311 Ste 115
Houma, LA 70360-2810

Phone

(985) 868-8331

Fax

(985) 868-8332

NPI assigned

Aug 21, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Claudia Anne Cavallino, D.D.S.

Title

Dentist - Owner

Phone

(985) 868-8331

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bayou Children's Dental Center Doing business as

Locations

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1780932830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4752 HIGHWAY 311 STE 115",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602810",
            "telephone_number": "985-868-8331",
            "fax_number": "985-868-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4752 HIGHWAY 311 STE 115",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602810",
            "telephone_number": "985-868-8331",
            "fax_number": "985-868-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAUDIA CAVALLINO DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "CAVALLINO",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "DENTIST - OWNER",
        "authorized_official_telephone_number": "985-868-8331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "LA",
            "license": "5392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1853925",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayou Children's Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Yasemin Civan, MD
• Robert William Clarke Jr., M.D.
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• Melissa W Clay, NP
• Daniel Raydell Clayton, PA
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• Richard James Clement Jr., M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.