OrganizationActive
Broadmoor Family Dentistry
NPI 1528359536 · Dentist · Shreveport, LA
Broadmoor Family Dentistry is a Dentist organization in Shreveport, LA (NPI 1528359536).
Provider details
- NPI number
- 1528359536
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jennifer Cooper, Dentist(318) 865-3311
- License
- 5859 (LA)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
230 Carroll St
#4
Shreveport, LA 71105-4248
Phone: (318) 865-3311
Fax: (318) 865-3339
Street-level locationGet directions
Mailing address
230 Carroll St
Shreveport, LA 71105-4248
Registry dates
- Enumerated
- 2011-04-25
- Last updated
- 2011-04-25
Frequently asked questions
- What is Broadmoor Family Dentistry's NPI number?
- Broadmoor Family Dentistry's National Provider Identifier (NPI) is 1528359536, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broadmoor Family Dentistry?
- Broadmoor Family Dentistry is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Broadmoor Family Dentistry located?
- Broadmoor Family Dentistry's practice location on file with NPPES is 230 Carroll St, Shreveport, LA 71105-4248.
- What is Broadmoor Family Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Broadmoor Family Dentistry is (318) 865-3311.
- Who is the authorized official for Broadmoor Family Dentistry?
- The authorized official listed on Broadmoor Family Dentistry's NPPES record is Jennifer Cooper, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broadmoor Family Dentistry's NPI active?
- Yes — Broadmoor Family Dentistry's NPI (1528359536) is active in the NPPES registry as of the last update on 2011-04-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.