NPIMap

Organization Active NPI

Dannon W Sutherland DMD LLC

  • Dental Clinic/Center
  • Gretna, LA
National Provider Identifier
1992106272
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6506 Issued in LA
Legal business name
DANNON W SUTHERLAND DMD LLC
Practice address
307 Gretna Blvd Ste a
Gretna, LA 70053-4994
Phone
(504) 361-5367
Fax
(504) 368-4846
NPI assigned
Sep 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Authorized official

Name
Dr. Dannon Sutherland, D.M.D
Title
Owner
Phone
(504) 361-5367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 6506 LA Primary

Addresses

Primary practice location

307 Gretna Blvd Ste a
Gretna, LA 70053-4994

Mailing address

307 Gretna Blvd Ste a
Gretna, LA 70053-4994
Phone (504) 361-5367

National Provider Directory

National Provider Directory

Locations

307 Gretna Blvd
Ste A
Gretna, LA 70053
Phone (504) 361-5367

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": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1992106272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 GRETNA BLVD STE A",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700534994",
            "telephone_number": "504-361-5367",
            "fax_number": "504-368-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 GRETNA BLVD STE A",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700534994",
            "telephone_number": "504-361-5367",
            "fax_number": "504-368-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANNON W SUTHERLAND DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "SUTHERLAND",
        "authorized_official_first_name": "DANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-361-5367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "LA",
            "license": "6506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.