Active NPI
Aubrey Anne Exnicios, DDS
- General Practice Dentistry
- New Orleans, LA
National Provider Identifier
1063078632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6957
- Practice address
- 5589 Canal Blvd
New Orleans, LA 70124-2770 - Phone
- (504) 482-3303
- NPI assigned
- May 19, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6957 | LA | Primary |
Addresses
Primary practice location
5589 Canal Blvd
New Orleans, LA 70124-2770
Mailing address
6750 General Diaz St
New Orleans, LA 70124-3318
Phone (504) 231-9228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6957 | LA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558224000000",
"number": "1063078632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6750 GENERAL DIAZ ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701243318",
"telephone_number": "504-231-9228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5589 CANAL BLVD",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701242770",
"telephone_number": "504-482-3303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EXNICIOS",
"first_name": "AUBREY",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-19",
"last_updated": "2019-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "6957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.