Monica S. Kincade, DDS
Individual provider Active NPI General Practice Dentistry · Saint Martinville, LA
NPI 1114019338 · NPPES record last updated Aug 31, 2020
Key facts
- NPI
- 1114019338
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4658 (LA)
- Practice address
- 317 Dernier St
Saint Martinville, LA 70582-3809 - Phone
- (337) 342-2566
- Fax
- (337) 342-2553
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160229000231 | LA | Order and Referring Only - Dentist |
6800191990 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4658 | LA | MD | Professional Counselor |
Networks
- LA PPO C-SNP
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4658 | LA | Yes |
Addresses
Primary practice location
317 Dernier St
Saint Martinville, LA 70582-3809
Mailing address
317 Dernier St
Saint Martinville, LA 70582-3809
Phone (337) 342-2566
Other names
- Dr. Monica Smith Kincade
Other providers in Saint Martinville, LA
- Shallan Jones
- JP RX Solutions LLC
- JP RX Solutions LLC
- Just Health
- Just Health
- Lane Thomas Landry
- Stephanie A Landry
- Valerie D Landry
- Molly D Leblanc
- Alasia Lee
All providers in Saint Martinville, LA · General Practice Dentistry in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.