NPIMap

Organization Active NPI

Tooth Booth, LLC

Doing business as Skool Smilez, LLC

  • Dentist
  • Lafayette, LA
National Provider Identifier
1912674086
Registry record updated Aug 26, 2021
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TOOTH BOOTH, LLC
Doing business as
Skool Smilez, LLC
Practice address
112 Rue Argenteuil
Lafayette, LA 70506-3726
Phone
(337) 255-9267
NPI assigned
Aug 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Authorized official

Name
Dr. Anastatia Simien, DDS
Title
Owner/Operator
Phone
(337) 255-9267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

112 Rue Argenteuil
Lafayette, LA 70506-3726

Mailing address

PO Box 91392
Lafayette, LA 70509-1392
Phone (337) 255-9267

Other names 1

  • Skool Smilez, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1912674086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91392",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705091392",
            "telephone_number": "337-255-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 RUE ARGENTEUIL",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063726",
            "telephone_number": "337-255-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOTH BOOTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "SIMIEN",
        "authorized_official_first_name": "ANASTATIA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "337-255-9267",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skool Smilez, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.