Individual provider Active NPI

James Anthony Loyola, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • New Orleans, LA
National Provider Identifier
1144377516
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
4143 Issued in LA
Practice address
4902 Canal St
Ste. 401
New Orleans, LA 70119-5840
Phone
(504) 484-7246
Fax
(504) 488-0061
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 4143 LA Primary

Addresses

Primary practice location

4902 Canal St
Ste. 401
New Orleans, LA 70119-5840

Mailing address

4902 Canal St
Ste. 401
New Orleans, LA 70119-5840
Phone (504) 484-7246

Other identifiers 1

IdentifierTypeStateIssuer
1841439MedicaidLA

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160420000862 LA Order and Referring Only - Maxillofacial SurgeryPractitioner - Maxillofacial Surgery 6800194184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4143LAMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1144377516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 CANAL ST",
            "address_2": "STE. 401",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195840",
            "telephone_number": "504-484-7246",
            "fax_number": "504-488-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 CANAL ST",
            "address_2": "STE. 401",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195840",
            "telephone_number": "504-484-7246",
            "fax_number": "504-488-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOYOLA",
        "first_name": "JAMES",
        "middle_name": "ANTHONY",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "LA",
            "license": "4143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841439",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.