Organization Active NPI

Regine Dyer DDS,LLC & Matthew Henson DDS, LLC

  • General Practice Dentistry
  • Kenner, LA
National Provider Identifier
1871182964
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
REGINE DYER DDS,LLC & MATTHEW HENSON DDS, LLC
Practice address
2400 Veterans Memorial Blvd Ste 210
Kenner, LA 70062-8723
Phone
(504) 833-3200
Fax
(504) 833-0183
NPI assigned
Jan 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Authorized official

Name
Mrs. Rosaurys Pena
Title
Practice Manager
Phone
(504) 833-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2400 Veterans Memorial Blvd Ste 210
Kenner, LA 70062-8723

Mailing address

2400 Veterans Memorial Blvd Ste 210
Kenner, LA 70062-8723
Phone (504) 833-3200

National Provider Directory

National Provider Directory

Locations

2400 Veterans Memorial Blvd
Ste 210
Kenner, LA 70062
Phone (504) 833-3200

Practitioners & affiliated clinicians

Practitioners 4

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": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1871182964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 VETERANS MEMORIAL BLVD STE 210",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700628723",
            "telephone_number": "504-833-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 VETERANS MEMORIAL BLVD STE 210",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700628723",
            "telephone_number": "504-833-3200",
            "fax_number": "504-833-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGINE DYER DDS,LLC & MATTHEW HENSON DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "ROSAURYS",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "504-833-3200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.