Individual provider Active NPI

Lauren Maenza, DDS

  • Dentist
  • Kenner, LA
National Provider Identifier
1164873386
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6703 Issued in LA
Practice address
909 W Esplanade Ave
Suite 101
Kenner, LA 70065-2700
Phone
(504) 464-0202
Fax
(504) 464-0264
NPI assigned
Jun 29, 2016
Last updated
Jun 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6703 LA Primary

Addresses

Primary practice location

909 W Esplanade Ave
Suite 101
Kenner, LA 70065-2700

Mailing address

909 W Esplanade Ave
Suite 101
Kenner, LA 70065-2700
Phone (504) 464-0202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6703LAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1164873386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 W ESPLANADE AVE",
            "address_2": "SUITE 101",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652700",
            "telephone_number": "504-464-0202",
            "fax_number": "504-464-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 W ESPLANADE AVE",
            "address_2": "SUITE 101",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652700",
            "telephone_number": "504-464-0202",
            "fax_number": "504-464-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAENZA",
        "first_name": "LAUREN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.