SOUTHERN ROOT DENTISTRY LLC
SOUTHERN ROOT DENTISTRY LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1154859320, based in Shreveport, LA. It is classified under General Practice Dentistry.
Getting there
The practice address on file is 734 N ASHLEY RIDGE LOOP, Shreveport, LA 71106. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 6747 | LA | General Practice Dentistry primary |
| 6750 | LA | General Practice Dentistry |
This provider holds licence 6747 issued in LA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What General Practice covers
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. NUCC Health Care Provider Taxonomy, code 1223G0001X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry General Practice | 6747 | LA | primary |
| 1223G0001X | General Practice Dentistry General Practice | 6750 | LA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1154859320 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 31, 2017 |
| Last updated | Jan 13, 2026 |
| Status | Active |
| Practice address |
734 N ASHLEY RIDGE LOOP Shreveport, LA 71106 (318) 701-8885 Fax (318) 701-8887 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 5 | 4 | 8 | 5 | 9 | 3 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 1 | 4 | 7 | 5 | 9 | 3 | 4 |
Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.