Individual provider Active NPI

Duane Anthony Simien, D.D.S.

  • General Practice Dentistry
  • New Orleans, LA
National Provider Identifier
1194859637
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5445 Issued in LA
Practice address
3201 General Meyer Ave Ste B
New Orleans, LA 70114-3204
Phone
(504) 365-5573
Fax
(504) 365-0922
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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 5445 LA Primary

Addresses

Primary practice location

3201 General Meyer Ave Ste B
New Orleans, LA 70114-3204

Mailing address

3201 General Meyer Ave Ste B
New Orleans, LA 70114-3204
Phone (504) 365-5573

Other identifiers 1

IdentifierTypeStateIssuer
1854450MedicaidLA

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
I20160317000007 LA Order and Referring Only - DentistPractitioner - Dentist 0648576686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5445LAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1194859637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 GENERAL MEYER AVE STE B",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701143204",
            "telephone_number": "504-365-5573",
            "fax_number": "504-365-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 GENERAL MEYER AVE STE B",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701143204",
            "telephone_number": "504-365-5573",
            "fax_number": "504-365-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMIEN",
        "first_name": "DUANE",
        "middle_name": "ANTHONY",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1854450",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.