Crescent City Surgery, LLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

CRESCENT CITY SURGERY, LLC

Practice address

7311 Downman Rd
New Orleans, LA 70126-1213

Phone

(504) 265-0089

Fax

(504) 241-1945

NPI assigned

Oct 5, 2009

Last updated

Oct 5, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Denardo Dolphin Dunham, DPM, MBANPI 1609836055

Title

Owner

Phone

(504) 265-0089

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Denardo Dolphin Dunham, D.P.M.

  • Foot Surgery Podiatrist
  • New Orleans, LA
  • NPI 1609836055
  Authorized official Same address or phone

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1235464546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7311 DOWNMAN RD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701261213",
            "telephone_number": "504-265-0089",
            "fax_number": "504-241-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7311 DOWNMAN RD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701261213",
            "telephone_number": "504-265-0089",
            "fax_number": "504-241-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT CITY SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "DUNHAM",
        "authorized_official_first_name": "DENARDO",
        "authorized_official_middle_name": "DOLPHIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-265-0089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM, MBA"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1397245",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crescent City Physical Therapy
• Crescent City Physicians, Inc.
• Crescent City Psychological Services LLC
• Crescent City Schools
• Crescent City Schools (Paul Habans Charter School)
• Crescent Community Outreach, LLC
• Crescent Community Outreach, LLC
• Crescent Physician Services, LLC
• Crescent Pulmonary Rehab, LLC
• Crescent Speech & Hearing, LLC

• Podiatric Clinic/Center in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Podiatric Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.