Organization Active NPI

Mac Family Dentistry

  • General Practice Dentistry
  • Mandeville, LA
National Provider Identifier
1922762509
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MAC FAMILY DENTISTRY
Practice address
280 Dalwill Dr
Mandeville, LA 70471-3372
Phone
(985) 727-0047
Fax
(985) 727-1282
NPI assigned
Oct 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Authorized official

Name
Dr. Martha Anne Carr, DDSNPI 1679652465
Title
Owner/President
Phone
(985) 727-0047

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

280 Dalwill Dr
Mandeville, LA 70471-3372

Mailing address

280 Dalwill Dr
Mandeville, LA 70471-3372
Phone (985) 727-0047

National Provider Directory

National Provider Directory

Locations

280 Dalwill Dr
Mandeville, LA 70471
Phone (985) 727-0047

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1922762509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 DALWILL DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713372",
            "telephone_number": "985-727-0047",
            "fax_number": "985-727-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 DALWILL DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713372",
            "telephone_number": "985-727-0047",
            "fax_number": "985-727-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAC FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "985-727-0047",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.