NPIMap

Organization Active NPI

Hammond Dental Care, LLC

  • Dental Clinic/Center
  • Hammond, LA
National Provider Identifier
1992095780
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5713 Issued in LA
Legal business name
HAMMOND DENTAL CARE, LLC
Practice address
1109 CM Fagan Dr
Suite P
Hammond, LA 70403-5973
Phone
(985) 662-5522
Fax
(985) 662-5524
NPI assigned
Apr 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Dr. David F Davenport, DDS
Title
Owner/Dentist
Phone
(985) 662-5522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5713 LA Primary

Addresses

Primary practice location

1109 CM Fagan Dr
Suite P
Hammond, LA 70403-5973

Mailing address

1109 CM Fagan Dr
Suite P
Hammond, LA 70403
Phone (985) 662-5522

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1992095780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 CM FAGAN DR",
            "address_2": "SUITE P",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "70403",
            "telephone_number": "985-662-5522",
            "fax_number": "985-662-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 CM FAGAN DR",
            "address_2": "SUITE P",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035973",
            "telephone_number": "985-662-5522",
            "fax_number": "985-662-5524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMMOND DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "985-662-5522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "LA",
            "license": "5713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.