THORSON DENTISTRY FOR KIDS (NPI# 1124507611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124507611 |
| Entity Type | Organization |
| Organization Name | THORSON DENTISTRY FOR KIDS |
| Practice Address |
159 Longview Dr Ste A Destrehan LA 70047 |
| Mailing Address |
159 Longview Dr Ste A Destrehan LA 70047-5076 |
| Practice Telephone | 9853070072 |
| Mailing Telephone | 9853070072 |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-15 |
| Authorized Official Name | JOEY KEENER (OFFICE MANAGER) |
| Authorized Official Telephone | 9853070072 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1861227 | 05 | |
| LA | 26622 | 05 | |
| LA | STATE LICENSE | 6122 | 01 |
| LA | 28782 | 05 |
| Street Address |
159 LONGVIEW DR STE A |
| City | DESTREHAN |
| State | LA |
| Zip Code | 70047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780181180 | Amanda Hall Begue | Dentist | 159 Longview Dr Ste A, Destrehan, LA 70047-5076 | 2018-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326606393 | Tiara W Austin | Non-emergency Medical Transport (VAN) | 129 9th Street, Destrehan, LA 70047 | 2019-06-04 |
| 1376992685 | Maghan Eugene | Counselor | 271 Villere Dr, Destrehan, LA 70047 | 2016-06-07 |
| 1750701264 | Abby Elizabeth Gandolfi | Internal Medicine | 13100 River Rd Ste 200, Destrehan, LA 70047 | 2014-04-23 |
| 1316362304 | Greater New Orleans Eye Care-destrehan LLC | Optometrist | 1 Storehouse Lane, Unit B, Destrehan, LA 70047 | 2014-02-27 |
| 1295023315 | Melissa Marie Arceneaux-myers | Chiropractor | 1950 Ormond Blvd Ste A, Destrehan, LA 70047 | 2011-07-11 |
| 1104058635 | Elizabeth Thorson | Dentist | 159 Longview Dr Ste Longview, Ste A, Destrehan, LA 70047 | 2009-08-18 |
| 1770759979 | Annemarie B Clancy | Speech-Language Pathologist | 290 Bowie Road, Thibodaux, LA 70047 | 2008-05-07 |
| 1508088501 | Linda Fennell | Pharmacist | 128 Nottoway Dr, Destrhan, LA 70047 | 2007-05-02 |
| 1689739971 | Childrens Clinic LLC | Pediatrics | 3 Storehouse Lane, Suite B, Destrehan, LA 70047 | 2006-12-27 |
| 1235204835 | Richard Lee Owens Sr. | Dentist | 124 Longview Dr, Suite 8, Destrehan, LA 70047 | 2006-11-21 |
| Find all providers in zip 70047 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780181180 | Amanda Hall Begue | Dentist | 159 Longview Dr Ste A, Destrehan, LA 70047-5076 | 2018-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898982 | Jeff Ellard Dds Apdc | Dentist | 541 Shadows Ln Ste B, Baton Rouge, LA 70806-6559 | 2020-07-13 |
| 1619539483 | Nasrin Danaeifar | Dentist | 2164 Robin St Apt A, New Orleans, LA 70122-4048 | 2019-07-02 |
| 1306308051 | Erin Doody | Dentist | 4 Brittany Pl, Arabi, LA 70032-1356 | 2019-04-02 |
| 1689149551 | Uptown Pediatric Dentistry, LLC | Dentist | 3715 Prytania Street, Suite 380, New Orleans, LA 70115 | 2018-10-08 |
| 1134625114 | Tyler Roberto Mesa | Dentist | 189 Greenbrier Blvd Ste A, Covington, LA 70433-7297 | 2018-03-30 |
| 1912407842 | Maturin Pediatric Dentistry LLC | Dentist | 14639 Airline Hwy Ste 111, Gonzales, LA 70737-6632 | 2018-02-16 |
| 1972056638 | Ross H. Dies, J. Cody Cowen, Dds, Benjamin A. Beach, Dds and Bryan Ste | Dentist | 3412 Barksdale Blvd, 100, Bossier City, LA 71112-3800 | 2016-07-29 |
| 1386023190 | Christopher Savoy | Dentist | 306 N Lewis St Ste 2, New Iberia, LA 70563-2924 | 2015-05-26 |
| 1235538075 | Austin Joseph Mcmurphy | Dentist | 6315 Hurst St, New Orleans, LA 70118-6162 | 2014-08-18 |
| 1518366368 | Kristoffer Norbo | Dentist | 1485 Tchoupitoulas St Apt 11103, New Orleans, LA 70130-1813 | 2014-08-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.