Individual provider Active NPI

Linda Thi Cao, D.D.S.

  • Pediatric Dentistry
  • Metairie, LA
National Provider Identifier
1093939373
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
5598 Issued in LA
Practice address
3330 Kingman St Ste 1
Metairie, LA 70006-4235
Phone
(504) 207-0314
Fax
(504) 609-3727
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 5598 LA Primary

Addresses

Primary practice location

3330 Kingman St Ste 1
Metairie, LA 70006-4235

Mailing address

3330 Kingman St Ste 1
Metairie, LA 70006-4235
Phone (504) 908-2098

Other practice location 1

2744 Manhattan Blvd
Suite A
Harvey, LA 70058
Phone (504) 207-0314

Other identifiers 2

IdentifierTypeStateIssuer
3192241MedicaidLA
3447649MedicaidLA

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

LicenseStateTypeSpecialty
5598LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Linda Cao DDS,LLC Pediatric Dentistry Current Accepting new patients
Linda Cao DDS,LLC Pediatric Dentistry CurrentSince Jan 1, 2020 Accepting new patients

Locations

2744 Manhattan Blvd
Ste A
Harvey, LA 70058
Phone (504) 207-0314

2800 Manhattan Blvd
Ste D
Harvey, LA 70058
Phone (504) 368-7513

3330 Kingman St
Ste 1
Metairie, LA 70006
Phone (504) 207-0314

Organizations & group practices 2

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1093939373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 KINGMAN ST STE 1",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064235",
            "telephone_number": "504-908-2098",
            "fax_number": "504-609-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 KINGMAN ST STE 1",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064235",
            "telephone_number": "504-207-0314",
            "fax_number": "504-609-3727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2744 Manhattan Blvd",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Harvey",
            "state": "LA",
            "postal_code": "70058",
            "country_code": "US",
            "telephone_number": "504-207-0314",
            "fax_number": "504-609-3727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAO",
        "first_name": "LINDA",
        "middle_name": "THI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "LA",
            "license": "5598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3192241",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3447649",
            "state": "LA"
        }
    ],
    "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 Mar 13, 2023; 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.