Individual provider Active NPI

Anelis Sanchez Mederos, DDS

  • Dentist
  • New Orleans, LA
National Provider Identifier
1124718572
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7465 Issued in LA
Practice address
3201 S Carrollton Ave
New Orleans, LA 70118-4307
Phone
(225) 907-2264
NPI assigned
May 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 7465 LA Primary

Addresses

Primary practice location

3201 S Carrollton Ave
New Orleans, LA 70118-4307

Mailing address

3201 S Carrollton Ave
New Orleans, LA 70118-4307
Phone (504) 207-3060

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
I20231003002734 LA Practitioner - Dentist 0941654511 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7465LAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Marillac Community Health Centers Multi-Specialty Current Accepting new patients
Marillac Community Health Centers CurrentSince Aug 1, 2023 Accepting new patients
Marillac Community Health Centers Multi-Specialty CurrentSince Aug 1, 2023 Accepting new patients

Locations

4861 Rosalia Dr
New Orleans, LA 70127

3201 S Carrollton Ave
New Orleans, LA 70118
Phone (504) 207-3019

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": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1124718572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 S CARROLLTON AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701184307",
            "telephone_number": "504-207-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S CARROLLTON AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701184307",
            "telephone_number": "225-907-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ MEDEROS",
        "first_name": "ANELIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "LA",
            "license": "7465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.