NPIMap

Organization Active NPI

St. Tammany Periodontics & Implants LLC

  • Periodontics
  • Covington, LA
National Provider Identifier
1104496744
Registry record updated Jun 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
ST. TAMMANY PERIODONTICS & IMPLANTS LLC
Practice address
5024 Keystone Blvd Ste a
Covington, LA 70433-7517
Phone
(985) 778-0241
Fax
(985) 778-0428
NPI assigned
Jun 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2021

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

Authorized official

Name
Dr. Caesar S Sweidan, DDSNPI 1386842995
Title
Owner
Phone
(985) 778-0241

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
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

5024 Keystone Blvd Ste a
Covington, LA 70433-7517

Mailing address

5024 Keystone Blvd Ste a
Covington, LA 70433-7517
Phone (985) 778-0241

Other practice location 1

1414 Old Spanish Trl
Slidell, LA 70458-5022
Phone (985) 590-1651

National Provider Directory

National Provider Directory

Locations

5024 Keystone Blvd
Ste A
Covington, LA 70433
Phone (985) 778-0241

1414 Old Spanish Trl
Slidell, LA 70458
Phone (504) 330-0253

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": "1624752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624752000000",
    "number": "1104496744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5024 KEYSTONE BLVD STE A",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337517",
            "telephone_number": "985-778-0241",
            "fax_number": "985-778-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 KEYSTONE BLVD STE A",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337517",
            "telephone_number": "985-778-0241",
            "fax_number": "985-778-0428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1414 Old Spanish Trl",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704585022",
            "country_code": "US",
            "telephone_number": "985-590-1651",
            "fax_number": "985-259-4544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST. TAMMANY PERIODONTICS & IMPLANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-27",
        "last_updated": "2021-06-27",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "SWEIDAN",
        "authorized_official_first_name": "CAESAR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-778-0241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.