NORTHSHORE ORTHODONTICS, LLC
NPI 1659893550
Dentist - Orthodontics and Dentofacial Orthopedics in Mandeville, LA

Active since July 12, 2017
4010 LONESOME RD, MANDEVILLE, LA 70448(985) 626-0160(985) 727-4459 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Jul 12, 2017 (2 updates tracked since 2017).

About Northshore Orthodontics, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHSHORE ORTHODONTICS, LLC (NPI 1659893550) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Mandeville, Louisiana and active in the NPI registry since July 2017. The organization maintains a secondary practice location in Bogalusa and lists Rebecca Payne, Owner, as its authorized official.

NPPES Registry Identity

NPI1659893550
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameNORTHSHORE ORTHODONTICS, LLC
Location Address4010 LONESOME RDMandeville, LA 70448-7085
Mailing Address4010 Lonesome RdMandeville, LA 70448-7085 · (985) 626-0160 · Fax (985) 727-4459
Fax(985) 727-4459
Organization SubpartNo
Authorized OfficialRebecca PayneOwner · (985) 626-0160
Enumeration DateJuly 12, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1659893550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in LA · 6567
Definition
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.
4010 LONESOME RD, Mandeville, LA 70448

Secondary Practice Location 1

Location 1421 Georgia AveBogalusa, LA 70427-3825 · Phone (985) 626-0160 · Fax (985) 727-4459

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
4010 LONESOME RD
MANDEVILLE, LA 70448

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northshore Orthodontics, LLC's NPI number?

The NPI number for Northshore Orthodontics, LLC is 1659893550. It was assigned to this organization in the NPPES registry on July 12, 2017.

Where is Northshore Orthodontics, LLC located?

Northshore Orthodontics, LLC is located at 4010 Lonesome Rd, Mandeville, LA 70448. The listed phone number is (985) 626-0160.

What is Northshore Orthodontics, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Northshore Orthodontics, LLC was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.