Organization Active NPI

Saloom Family Dentistry, LLC

  • Dental Clinic/Center
  • Lafayette, LA
National Provider Identifier
1972368728
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SALOOM FAMILY DENTISTRY, LLC
Practice address
102 Genevieve Dr
Lafayette, LA 70503-4811
Phone
(337) 981-6882
Fax
(337) 991-0542
NPI assigned
Feb 20, 2024
Last updated
Apr 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Brenda Ray
Title
Office Manager
Phone
(337) 981-6882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

102 Genevieve Dr
Lafayette, LA 70503-4811

Mailing address

102 Genevieve Dr
Lafayette, LA 70503-4811
Phone (337) 981-6882

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1972368728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 GENEVIEVE DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705034811",
            "telephone_number": "337-981-6882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 GENEVIEVE DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705034811",
            "telephone_number": "337-981-6882",
            "fax_number": "337-991-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALOOM FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "337-981-6882"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 18, 2024; 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.