Bumgardner Family Dental, Apdc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BUMGARDNER FAMILY DENTAL, APDC

Practice address

4306 N. University
Carencro, LA 70520

Phone

(337) 896-3062

NPI assigned

Apr 11, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Joseph Bumgardner, D.D.S.

Title

President of Bumgardner Family Den

Phone

(337) 896-3062

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Michele Lavergne, DDS

  • General Practice Dentistry
  • Carencro, LA
  • NPI 1184135279

  General Practice

  NPD (past)

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1912460437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 N. UNIVERSITY",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "70520",
            "telephone_number": "337-896-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 N. UNIVERSITY",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "70520",
            "telephone_number": "337-896-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUMGARDNER FAMILY DENTAL, APDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "BUMGARDNER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT OF BUMGARDNER FAMILY DEN",
        "authorized_official_telephone_number": "337-896-3062",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1860794",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brookshire Grocery Company
• Morgan Ortego Broussard, LOTR
• Olivia Kathryn Broussard, PMHNP-BC
• Aniya Brown
• Jonathon Brunet, P.D.
• C Guedry LLC
• Carencro Nusing Home Inc
• Jasmine Carmouche
• Carolyn a. Brown, LPC - Positive Choices Counseling
• Steven Charles Cashen, PTA

• General Practice Dentistry in Carencro, LA
• Providers in Carencro, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.