JOHN TRAHAN II APDC (NPI# 1235435314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235435314 |
Entity Type | Organization |
Organization Name | JOHN TRAHAN II APDC |
Other Organization Name | SMILE DESIGN ORTHODONTICS |
Practice Address |
139 Gloria Dr. Lake Charles LA 70611 |
Mailing Address |
Po Box 12599 Lake Charles LA 70612-2599 |
Practice Telephone | 3372634762 |
Mailing Telephone | 3372634762 |
Enumeration Date | 2011-02-07 |
Last Update Date | 2011-02-07 |
Authorized Official Name | DR. JOHN EDWARD 'JET' TRAHAN II (OWNER/DOCTOR) |
Authorized Official Telephone | 3372634762 |
Authorized Official Credential | D.D.S., M.S.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
5907 | LA | Dental Providers |
Other Name | Type Code |
---|---|
Smile Design Orthodontics | Doing Business As Name - Organization |
Street Address |
139 GLORIA DR. |
City | LAKE CHARLES |
State | LA |
Zip Code | 70611 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417429036 | Ochsner Clinic LLC | Internal Medicine | 1355 Sam Houston Jones Pkwy, Ste 355, Lake Charles, LA 70611 | 2018-12-20 |
1538669361 | Nafeesa Zindani | Family Medicine | Chadha Medical Clinic 237 Sam Houston Jones Pkwy, Lake Carles, LA 70611 | 2018-02-19 |
1265930457 | Mark Kwame Osebre | Pharmacist | 120 Us-171, Moss Bluff, LA 70611 | 2018-01-23 |
1255840690 | Eavy's Medical Transportation | Non-emergency Medical Transport (VAN) | 1274 You Winn Rd, Moss Bluff, LA 70611 | 2017-09-28 |
1417324112 | Golden Touch LLC | Respite Care | 633 Donna Dr., Lake Charles, LA 70611 | 2015-08-28 |
1801299037 | Howard Bosely | Pharmacist | 899 Hwy 171 North, Lake Charles, LA 70611 | 2014-10-02 |
1780938266 | Kendra P Achord | Pharmacist | 899 Hwy 171 N, Lake Charles, LA 70611 | 2012-11-05 |
1629383559 | Michael Rand Pettit | Pharmacist | 114 Gloria Dr, Lake Charles, LA 70611 | 2010-08-16 |
1851417844 | Steven Raymond Latiolais | Dentist | 644 Highway 171 N, Suite D, Lake Charles, LA 70611 | 2007-03-21 |
1518043595 | Lori H. Gober | Dentist | 340 N. Hwy 171, Suite A, Lake Charles, LA 70611 | 2006-10-31 |
Find all providers in zip 70611 |
Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285981555 | Jude Paul Fairchild | Dentist | 1837 W Prien Lake Rd, Lake Charles, LA 70605-1223 | 2012-08-06 |
1801012851 | James A. Leithead Jr. | Dentist | 615 W College St, Lake Charles, LA 70605-1521 | 2007-04-18 |
1003949652 | John Ferrell Moffett Jr. | Dentist | 1509 W Mcneese St, Lake Charles, LA 70605 | 2007-03-13 |
1386771632 | Craig Hannie Crawford | Dentist | 701 W College St, Lake Charles, LA 70605-1523 | 2007-02-27 |
1336208115 | Troy Michael Lefort | Dentist | 2628 Country Club Rd, Lake Charles, LA 70605-5912 | 2006-12-07 |
1942250741 | Alan Carl Perry | Dentist | 2805 Aster St, Lake Charles, LA 70601-8825 | 2006-05-11 |
1124459110 | Alan C Perry Dds (a Professional Dental Corporation) | Dentist | 1837 W Prien Lake Rd, Lake Charles, LA 70605-1223 | 2013-12-02 |
1164765863 | Michael Hebert | Dentist | 1616 W Mcneese St, Lake Charles, LA 70605-4244 | 2013-04-01 |
1629386032 | John Edward 'jet' Trahan II | Dentist | 4600 Lake St, Lake Charles, LA 70605-5416 | 2010-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528674116 | Allison Haynie | Dentist | 1914 E 70th St Ste H, Shreveport, LA 71105-5312 | 2020-09-18 |
1982229720 | Hannah Knott | Dentist | 1301 W Tunnel Blvd Ste B, Houma, LA 70360-2600 | 2020-06-08 |
1922562438 | Coastal Orthodontics, LLC | Dentist | 635 Enterprise Drive, Houma, LA 70360-7036 | 2019-01-29 |
1174053243 | Kyle Michael Maldonado | Dentist | 808 C M Fagan Dr, Hammond, LA 70403 | 2017-06-12 |
1689108664 | Matthew Oubre | Dentist | 3600 Dumaine St, New Orleans, LA 70119-3810 | 2017-04-17 |
1164955092 | Craig Murphy | Dentist | 7300 Lakeshore Drive Apartment #11, New Orleans, LA 70124 | 2017-04-07 |
1447794490 | Rebecca Payne | Dentist | 4010 Lonesome Rd, Mandeville, LA 70448-7085 | 2016-12-09 |
1780137703 | Eun Chee Lee | Dentist | 2330 Gause Blvd E Ste E, Slidell, LA 70461-4141 | 2016-07-26 |
1518364884 | Donovan P Soignet | Dentist | 1001-a East 7th St, Thibodaux, LA 70301 | 2014-12-02 |
1598184871 | Jessica Brown Ulmer | Dentist | 4429 Chastant St, Metairie, LA 70006-2053 | 2014-04-15 |
Find all providers with the same taxonomy |
City | LAKE CHARLES |
Zip Code | 70611 |
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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.