Coastal Orthodontics, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

COASTAL ORTHODONTICS, LLC

Practice address

635 Enterprise Drive
Houma, LA 70360-7036

Phone

(985) 853-1142

Fax

(985) 853-1143

NPI assigned

Jan 29, 2019

Organization subpart

No

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

Authorized official

Name

Angie T Rogers

Title

Office Manager

Phone

(985) 853-1142

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Brent Joseph Benoit, D.D.S., M.S.D

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Houma, LA
  • NPI 1881075984
  NPD
• Catherine Ann Schwab, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Houma, LA
  • NPI 1497849905
  NPD (past)

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1922562438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20068",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703600068",
            "telephone_number": "985-853-1142",
            "fax_number": "985-853-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 ENTERPRISE DRIVE",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703607036",
            "telephone_number": "985-853-1142",
            "fax_number": "985-853-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-29",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "985-853-1142"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard James Clement Jr., M.D.
• Tricia Rene Clement, M.ED, BCBA
• Caitlyn Cloud, MS, CCC-SLP
• Cloutier Eyecare, Apoc
• Louis Arnold Cloutier Jr., O.D.
• Coastal Orthopaedic Specialists LLC
• Coastal Urgent Care of Louisiana, LLC
• Amy Cobb, BA
• Patricia Thomasson Cobb, P.T., N.C.S.
• Jaleia Colar, LMSW

• Orthodontics and Dentofacial Orthopedics Dentistry in Houma, LA
• Providers in Houma, LA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.