Organization Active NPI

Miles for Smiles, LLC

  • Dentist
  • Shreveport, LA
National Provider Identifier
1891173449
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MILES FOR SMILES, LLC
Practice address
610 Texas St
Shreveport, LA 71101-3554
Phone
(318) 317-2800
NPI assigned
May 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Authorized official

Name
Ashley McClenathen
Title
Insurance Coordinator
Phone
(318) 317-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

610 Texas St
Shreveport, LA 71101-3554

Mailing address

PO Box 78505
Shreveport, LA 71137-8505
Phone (318) 317-2800

National Provider Directory

National Provider Directory

Locations

610 Texas St
Shreveport, LA 71101
Phone (318) 317-2800

NPI Registry JSON

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1891173449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78505",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711378505",
            "telephone_number": "318-317-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 TEXAS ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013554",
            "telephone_number": "318-317-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES FOR SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "MCCLENATHEN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "318-317-2800"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "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 May 15, 2015; 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.