CFDM LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CFDM LLC

Practice address

2636 Athania Pkwy
Metairie, LA 70002

Phone

(504) 455-5410

Fax

(504) 455-5410

NPI assigned

Jan 23, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Lacey Andreotta, DDS

Title

Owner

Phone

(504) 455-5410

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Concord Family Dental Metairie LLC Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adam Joseph Quartano, D.D.S.

  • Dentist
  • Metairie, LA
  • NPI 1851730154
  NPD

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1154036291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 ATHANIA PKWY",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70002",
            "telephone_number": "504-455-5410",
            "fax_number": "504-455-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2636 ATHANIA PKWY",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70002",
            "telephone_number": "504-455-5410",
            "fax_number": "504-455-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CFDM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-12-13",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "ANDREOTTA",
        "authorized_official_first_name": "LACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-455-5410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1863505",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CocnordAlgiers@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3320 N Hullen St Ste C",
            "city": "Metairie",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700023492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Concord Family Dental Metairie LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donald P Cerise, M.D.
• Elizabeth Ashley Cerniglia, DDS
• George P. Cerniglia, D.D.S.
• Victoria Love Cerniglia, CPHT
• Stephanie Cervantez
• Suzanne A Chabaud, PH.D.
• Kayla Ann Chacon, PA-C
• Gita Chadalawada
• Abigail Hartsfield Chaffe
• Connor Mark Chamberlain, PA

• General Practice Dentistry in Metairie, LA
• Providers in Metairie, 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 Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.