NPI Code Detail JSON Logo

1295611093 NPI number — WBOMS, LLC

NPI Number: 1295611093
Health Care Provider/Practitioner: WBOMS, LLC

Information about “1295611093” NPI (WBOMS, LLC) exists in 1295611093 in HTML format HTML  |  1295611093 in plain Text format TXT  |  1295611093 in PDF (Portable Document Format) PDF  |  1295611093 in an XML format XML  formats.

NPI Number : 1295611093 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1295611093",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "WBOMS, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3100 GALLERIA DR STE 202",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "METAIRIE",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "70001-2196",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "504-456-5033",
    "MailingAddressFaxNumber": "504-456-5057",
    "FirstLinePracticeLocationAddress": "4800 10TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MARRERO",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "70072-3013",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "504-217-5717",
    "PracticeLocationAddressFaxNumber": "504-217-5941",
    "EnumerationDate": "08/15/2025",
    "LastUpdateDate": "08/15/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HYNEMAN",
    "AuthorizedOfficialFirstName": "DANIEL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "D.D.S.,M.D.",
    "AuthorizedOfficialTelephoneNumber": "504-217-5717",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223S0112X",
        "TaxonomyName": "Oral and Maxillofacial Surgery (Dentist)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.