NPIMap

Organization Active NPI

Brindis Prosthodontics, LLC

  • Prosthodontics
  • Metairie, LA
National Provider Identifier
1073111415
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
BRINDIS PROSTHODONTICS, LLC
Practice address
4228 Houma Blvd Ste 210
Metairie, LA 70006-3005
Phone
(504) 883-3737
NPI assigned
Oct 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Authorized official

Name
Dr. Marco Antonio Brindis, DDSNPI 1265620942
Title
Owner
Phone
(504) 883-3737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X Primary

Addresses

Primary practice location

4228 Houma Blvd Ste 210
Metairie, LA 70006-3005

Mailing address

4228 Houma Blvd Ste 210
Metairie, LA 70006-3005
Phone (504) 883-3737

National Provider Directory

National Provider Directory

Locations

4228 Houma Blvd
Ste 210
Metairie, LA 70006
Phone (504) 883-3737

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1073111415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BLVD STE 210",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700063005",
            "telephone_number": "504-883-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BLVD STE 210",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700063005",
            "telephone_number": "504-883-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRINDIS PROSTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "BRINDIS",
        "authorized_official_first_name": "MARCO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-883-3737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.