Active NPI
David M Vieth DDS, a Professional Corporation
Doing business as Kool Smiles
- General Practice Dentistry
- Lake Charles, LA
National Provider Identifier
1790017671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DAVID M VIETH DDS, A PROFESSIONAL CORPORATION
- Doing business as
- Kool Smiles
Taylor Dental - Practice address
- 2706 Ryan Street
Lake Charles, LA 70601-7393 - Phone
- (800) 920-9947
- NPI assigned
- Feb 3, 2010
- Last updated
- Mar 22, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David M Vieth, DDS
- Title
- President
- Phone
- (770) 916-5036
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | NU | ||
| General Practice Dentistry | 1223G0001X | NU | Primary | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | NU |
Addresses
Primary practice location
2706 Ryan Street
Lake Charles, LA 70601-7393
Mailing address
1090 Northchase Pkwy SE Ste 150
Marietta, GA 30067-6407
Phone (770) 916-5028
Other names 2
- KOOL SMILES
- Taylor Dental
National Provider Directory
National Provider Directory- Tax ID family
- David M Vieth DDS a Professional Corporation
Other organizations with this tax ID 8
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Kool Smiles
- General Practice Dentistry
- Monroe, LA
- NPI 1144551086
-
dba Kool Smiles
- General Practice Dentistry
- Shreveport, LA
- NPI 1346571866
-
dba Kool Smiles
- General Practice Dentistry
- Baton Rouge, LA
- NPI 1992037758
-
dba Kool Smiles
- General Practice Dentistry
- Lafayette, LA
- NPI 1083946834
-
dba Taylor Dental
- General Practice Dentistry
- Shreveport, LA
- NPI 1013295815
-
dba Taylor Dental
- General Practice Dentistry
- Metairie, LA
- NPI 1578858254
-
dba Kool Smiles
- General Practice Dentistry
- New Orleans, LA
- NPI 1629384797
-
dba Kool Smiles
- General Practice Dentistry
- Gretna, LA
- NPI 1932415007
Locations
2706 Ryan St
Lake Charles, LA 70601
Phone (318) 219-5159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1553212800000",
"number": "1790017671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1090 NORTHCHASE PKWY SE STE 150",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300676407",
"telephone_number": "770-916-5028",
"fax_number": "678-247-7858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2706 RYAN STREET",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706017393",
"telephone_number": "800-920-9947"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID M VIETH DDS, A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-03",
"last_updated": "2019-03-22",
"status": "A",
"authorized_official_last_name": "VIETH",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-916-5036",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "KOOL SMILES",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Taylor Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake Charles, LA
- Joel Daugherty, M.A., LPC-S
- Lea Anne Dauphine, L.P.C
- Fidencio Hernan Davalos, M.D.
- David Ashley MD DMD Oral Surgery Group, PC (Oral Surgery and Wisdom Teeth of Louisiana)
- David Darbonne, M.D. Apmc
- David S Chang LLC
- Jody M. Davidson, L.C.S.W.
- Juanita Joy Davidson, PHARM D
- Paige Davidson, CCC-SLP
- Kerri Davis-Fontenot, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.