Individual provider Active NPI

Susan Sutter Lebon, D.D.S.

  • General Practice Dentistry
  • New Orleans, LA
National Provider Identifier
1174695605
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3563 Issued in LA
Practice address
2633 Napoleon Ave
Suite 605
New Orleans, LA 70115-6357
Phone
(504) 899-5400
Fax
(504) 899-5405
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3563 LA Primary

Addresses

Primary practice location

2633 Napoleon Ave
Suite 605
New Orleans, LA 70115-6357

Mailing address

2633 Napoleon Ave
Suite 605
New Orleans, LA 70115-6357
Phone (504) 899-5400

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
I20160419002193 LA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7719285030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3563LAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174695605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 NAPOLEON AVE",
            "address_2": "SUITE 605",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701156357",
            "telephone_number": "504-899-5400",
            "fax_number": "504-899-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 NAPOLEON AVE",
            "address_2": "SUITE 605",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701156357",
            "telephone_number": "504-899-5400",
            "fax_number": "504-899-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBON",
        "first_name": "SUSAN",
        "middle_name": "SUTTER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "3563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.