NPIMap

Organization Active NPI

Dr Lisa Ann Loescher & Associates Family Dentistry LLC

  • General Practice Dentistry
  • Slidell, LA
National Provider Identifier
1821486739
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4795 Issued in LA
Legal business name
DR LISA ANN LOESCHER & ASSOCIATES FAMILY DENTISTRY LLC
Practice address
1400 Old Spanish TRL Ste a
Slidell, LA 70458-5022
Phone
(985) 643-2040
Fax
(985) 641-8707
NPI assigned
Dec 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Authorized official

Name
Dr. Lisa Ann Loescher, DDS
Title
Managing Member
Phone
(985) 643-6620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 4795 LA Primary

Addresses

Primary practice location

1400 Old Spanish TRL Ste a
Slidell, LA 70458-5022

Mailing address

1400 Old Spanish TRL Ste a
Slidell, LA 70458-5022
Phone (985) 643-2040

National Provider Directory

National Provider Directory
Tax ID family
Dr Lisa Ann Loescher Associates Family Dentistry LLC2 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

1400 Old Spanish Trl
Ste A
Slidell, LA 70458
Phone (985) 643-2040

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1821486739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 OLD SPANISH TRL STE A",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704585022",
            "telephone_number": "985-643-2040",
            "fax_number": "985-641-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 OLD SPANISH TRL STE A",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704585022",
            "telephone_number": "985-643-2040",
            "fax_number": "985-641-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LISA ANN LOESCHER & ASSOCIATES FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "LOESCHER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "985-643-6620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "4795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.