Individual provider Active NPI

Timothy J Delcambre, DDS

  • General Practice Dentistry
  • New Orleans, LA
National Provider Identifier
1114008786
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3944 Issued in LA
Practice address
3426 Coliseum St
New Orleans, LA 70115-2427
Phone
(504) 895-6657
Fax
(504) 899-0017
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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 3944 LA Primary

Addresses

Primary practice location

3426 Coliseum St
New Orleans, LA 70115-2427

Mailing address

3426 Coliseum St
New Orleans, LA 70115-2427
Phone (504) 895-6657

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
I20151201002241 LA Order and Referring Only - DentistPractitioner - Dentist 6800196635

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3944LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy J Delcambre DDS Mha LLC General Practice CurrentSince Oct 2, 2022 Accepting new patients
The Garden Dentists, LLC General Practice PastSince Nov 7, 2025 Accepting new patients
Lsu Medical Center Past Accepting new patients

Locations

3426 Coliseum St
New Orleans, LA 70115
Phone (504) 895-6657

Organizations & group practices 3

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1114008786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3426 COLISEUM ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701152427",
            "telephone_number": "504-895-6657",
            "fax_number": "504-899-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3426 COLISEUM ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701152427",
            "telephone_number": "504-895-6657",
            "fax_number": "504-899-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELCAMBRE",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "3944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.