Kalisha Antonia Nelson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6724 Issued in LA

Practice address

1151 Marguerite St Ste 100a
Morgan City, LA 70380-1881

Phone

(985) 255-4524

NPI assigned

Mar 1, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Dr. Kalisha Nelson Hanley Other name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Blessed Smiles

  • Dental Clinic/Center
  • Morgan City, LA
  • NPI 1548091135
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1134493695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 MARGUERITE ST STE 100A",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801881",
            "telephone_number": "985-255-4524",
            "fax_number": "985-255-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 MARGUERITE ST STE 100A",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801881",
            "telephone_number": "985-255-4524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1124 7th St",
            "address_purpose": "LOCATION",
            "city": "Morgan City",
            "state": "LA",
            "postal_code": "703801951",
            "country_code": "US",
            "telephone_number": "337-828-2550 x2137",
            "fax_number": "337-355-2335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1770 Grand Concourse Apt 2F",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104575526",
            "country_code": "US",
            "telephone_number": "718-901-8110",
            "fax_number": "718-901-8121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1115 Weber St",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "LA",
            "postal_code": "705384124",
            "country_code": "US",
            "telephone_number": "337-828-2550 x2137",
            "fax_number": "337-355-2335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KALISHA",
        "middle_name": "ANTONIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6724",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1867241",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1A5073",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALISHA",
            "last_name": "NELSON HANLEY",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mpi Inc
• Brooke Naquin
• Edward L Naquin, L.A.C.
• Natchez Morice, MD, Mba, LLC
• Nella Health Rehabilitation LLC
• John Newell, M.D.
• Nexion Health at Maison Jardin, Inc.
• Taylor Ngo
• Nwosu Osaro Ngofa, M.D.
• Vivian Nguyen

• General Practice Dentistry in Morgan City, LA
• Providers in Morgan City, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.