Patrick Ryan Cecola

Primary specialty

DentistTaxonomy code 122300000X

License

7419 Issued in LA

Practice address

1291 Florida Ave SW
Denham Springs, LA 70726-4635

Phone

(225) 664-4121

NPI assigned

Mar 7, 2023

Last updated

May 31, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sandefer Premier Dental, LLC

  • General Practice Dentistry
  • Denham Springs, LA
  • NPI 1679922033
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1043910276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 ATHERTON DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700015544",
            "telephone_number": "504-875-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1291 FLORIDA AVE SW",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264635",
            "telephone_number": "225-664-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECOLA",
        "first_name": "PATRICK",
        "middle_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "7419",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vida L Carriere
• Briana Carter
• Stephen Carter, HIS
• Terrell Carter, MBA
• Macy Catalano, FNP-C
• Latecia Celestin
• Centerwell Senior Primary Care la PC (CenterWell Senior Primary Care- Denham Springs)
• Norman Itzae Cervantes
• Patricia Rose Ragusa Charpentier
• Charter Home Health LLC

• Dentist in Denham Springs, LA
• Providers in Denham Springs, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.