Shelly Margaret Joachim, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

LA5031 Issued in LA

Practice address

13707 Coursey Blvd. Ste. a
Bluebonnet Dental Care at Coursey
Baton Rouge, LA 70817

Phone

(225) 752-5241

Fax

(225) 752-8691

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fallin and Fallin Family Dentistry Coursey, LLC

  • Dental Clinic/Center
  • Baton Rouge, LA
  • NPI 1699910869
  NPD (past)
• Louisiana Dental Professionals, Donovan Dronet, DDS, a Professional de

  • General Practice Dentistry
  • Baton Rouge, LA
  • NPI 1578852380
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408320000000",
    "number": "1992839583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 BLUEBONNET BLVD",
            "address_2": "STE F",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70809",
            "telephone_number": "225-767-2273",
            "fax_number": "225-223-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13707 COURSEY BLVD. STE. A",
            "address_2": "BLUEBONNET DENTAL CARE AT COURSEY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70817",
            "telephone_number": "225-752-5241",
            "fax_number": "225-752-8691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOACHIM",
        "first_name": "SHELLY",
        "middle_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2014-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "LA5031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JKD Enterprises LLC
• JMJ Psychological Services, LLC
• JMJ Psychological Services, LLC
• JNB Psychology GS LLC
• Joachim & Basco Apc
• Stefanie S. Jobe, CNM
• Senetra Joe
• Tina Joesph
• Johanna Martinez-Rink, LPC
• John a. Dean MD a Medical Corporation

• Dentist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.