Active NPI
Monika Kumar, DDS
- General Practice Dentistry
- Shreveport, LA
National Provider Identifier
1811043714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5573
- Practice address
- 3330 Youree Dr
Shreveport, LA 71105-2116 - Phone
- (318) 286-5810
- Fax
- (318) 861-9227
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5573 | LA | Primary |
Addresses
Primary practice location
3330 Youree Dr
Shreveport, LA 71105-2116
Mailing address
3330 Youree Dr
Shreveport, LA 71105-2116
Phone (318) 286-5810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5573 | LA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503360000000",
"number": "1811043714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3330 YOUREE DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711052116",
"telephone_number": "318-286-5810",
"fax_number": "318-861-9227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 YOUREE DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711052116",
"telephone_number": "318-286-5810",
"fax_number": "318-861-9227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMAR",
"first_name": "MONIKA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2017-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "5573",
"primary": true
}
],
"identifiers": [],
"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 Aug 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.