Individual provider Active NPI

Angel Haley Sylve, DDS

  • General Practice Dentistry
  • Marrero, LA
National Provider Identifier
1083142897
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6758 Issued in LA
Practice address
2724 Ascension CT
Marrero, LA 70072-6090
Phone
(504) 215-8488
NPI assigned
May 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6758 LA Primary

Addresses

Primary practice location

2724 Ascension CT
Marrero, LA 70072-6090

Mailing address

2840 Manhattan Blvd
Harvey, LA 70058-2988
Phone (504) 324-3353

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170614002736 LA Order and Referring Only - DentistPractitioner - Dentist 6608144654

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6758LAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1083142897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 MANHATTAN BLVD",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700582988",
            "telephone_number": "504-324-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2724 ASCENSION CT",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700726090",
            "telephone_number": "504-215-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYLVE",
        "first_name": "ANGEL",
        "middle_name": "HALEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.