Organization Active NPI

Beth Saacks, D.D.S. & Associates

  • General Practice Dentistry
  • Mandeville, LA
National Provider Identifier
1821315870
Registry record updated Apr 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
NOT 10520-0 Issued in LA
Legal business name
BETH SAACKS, D.D.S. & ASSOCIATES
Practice address
2881 Highway 190
Suite D-4
Mandeville, LA 70471-3248
Phone
(985) 626-8980
Fax
(985) 727-4660
NPI assigned
Apr 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2010

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

Authorized official

Name
Dr. Beth Saacks, D.D.S.
Title
Dentist/Owner
Phone
(985) 626-8980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X NOT 10520-0 LA Primary

Addresses

Primary practice location

2881 Highway 190
Suite D-4
Mandeville, LA 70471-3248

Mailing address

2881 Highway 190
Suite D-4
Mandeville, LA 70471-3248
Phone (985) 626-8980

Other names 1

  • Family Dentistry Other name

National Provider Directory

National Provider Directory
Tax ID family
Beth Saacks DDS Apdc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2881 Highway 190
Ste D4
Mandeville, LA 70471
Phone (985) 626-8980

NPI Registry JSON

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1821315870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2881 HIGHWAY 190",
            "address_2": "SUITE D-4",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713248",
            "telephone_number": "985-626-8980",
            "fax_number": "985-727-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 HIGHWAY 190",
            "address_2": "SUITE D-4",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713248",
            "telephone_number": "985-626-8980",
            "fax_number": "985-727-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH SAACKS, D.D.S. & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-30",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "SAACKS",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "985-626-8980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "NOT 10520-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; 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.