Individual provider Active NPI

Peter H. Nasser, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Shreveport, LA
National Provider Identifier
1922235597
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3917 Issued in LA
Practice address
9091 Ellerbe Rd
Suite 500
Shreveport, LA 71106-6738
Phone
(318) 864-2860
Fax
(318) 864-2863
NPI assigned
Jun 22, 2009
Last updated
Jun 22, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 3917 LA Primary

Addresses

Primary practice location

9091 Ellerbe Rd
Suite 500
Shreveport, LA 71106-6738

Mailing address

9091 Ellerbe Rd
Suite 500
Shreveport, LA 71106-6738
Phone (318) 864-2860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Cosse, DDS, L.L.C. Orthodontics and Dentofacial Orthopedics PastSince Oct 1, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1922235597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9091 ELLERBE RD",
            "address_2": "SUITE 500",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711066738",
            "telephone_number": "318-864-2860",
            "fax_number": "318-864-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9091 ELLERBE RD",
            "address_2": "SUITE 500",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711066738",
            "telephone_number": "318-864-2860",
            "fax_number": "318-864-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSER",
        "first_name": "PETER",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "LA",
            "license": "3917",
            "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 Jun 22, 2009; 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.