Individual provider Active NPI

Stan P Cowley, Jr, DDS

  • General Practice Dentistry
  • Metairie, LA
National Provider Identifier
1093739625
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2698 Issued in LA
Practice address
3237 Metairie Rd
Metairie, LA 70001-5214
Phone
(504) 831-4895
Fax
(504) 831-5957
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2698 LA Primary

Addresses

Primary practice location

3237 Metairie Rd
Metairie, LA 70001-5214

Mailing address

3237 Metairie Rd
Metairie, LA 70001-5214
Phone (504) 831-4895

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
I20160407000130 LA Order and Referring Only - DentistPractitioner - Dentist 7517265507

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2698LAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Stan P. Cowley, Jr, DDS General Practice Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093739625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3237 METAIRIE RD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700015214",
            "telephone_number": "504-831-4895",
            "fax_number": "504-831-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3237 METAIRIE RD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700015214",
            "telephone_number": "504-831-4895",
            "fax_number": "504-831-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWLEY, JR",
        "first_name": "STAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "2698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.