Individual provider Active NPI

Laurence Thatch Norton III, D.D.S.

  • General Practice Dentistry
  • New Orleans, LA
National Provider Identifier
1275601759
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5201 Issued in LA
Practice address
3712 Macarthur Blvd.
Suite 102
New Orleans, LA 70114-6843
Phone
(504) 366-8381
Fax
(504) 366-8388
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

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 5201 LA Primary

Addresses

Primary practice location

3712 Macarthur Blvd.
Suite 102
New Orleans, LA 70114-6843

Mailing address

3712 Macarthur Blvd.
Suite 102
New Orleans, LA 70114-6843
Phone (504) 366-8381

Other identifiers 3

IdentifierTypeStateIssuer
1852015MedicaidLA
1275601759OtherLAUNITED CONCORDIA
G1581OtherLABCBS OF LA

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
I20151218001021 LA Order and Referring Only - DentistPractitioner - Dentist 7113228024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201LAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244505600000",
    "number": "1275601759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 MACARTHUR BLVD.",
            "address_2": "SUITE 102",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701146843",
            "telephone_number": "504-366-8381",
            "fax_number": "504-366-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 MACARTHUR BLVD.",
            "address_2": "SUITE 102",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701146843",
            "telephone_number": "504-366-8381",
            "fax_number": "504-366-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTON",
        "first_name": "LAURENCE",
        "middle_name": "THATCH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2009-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1852015",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1275601759",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF LA",
            "identifier": "G1581",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.