Active NPI
Emmanuel Kweku Gavua
- Student in an Organized Health Care Education/Training Program
- New Orleans,, LA
National Provider Identifier
1275828980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1100 Florida Ave, Box 220
Lsu School of Dentistry
New Orleans,, LA 70119-2799 - Phone
- (504) 941-8000
- NPI assigned
- Jun 10, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1100 Florida Ave, Box 220
Lsu School of Dentistry
New Orleans,, LA 70119-2799
Mailing address
1502 Patricia Dr Apt D
Yeadon, PA 19050-4051
Phone (267) 694-3266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181015002629 | FL | Order and Referring Only - Dentist | 0345592614 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307664000000",
"number": "1275828980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 PATRICIA DR APT D",
"city": "YEADON",
"state": "PA",
"postal_code": "190504051",
"telephone_number": "267-694-3266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 FLORIDA AVE, BOX 220",
"address_2": "LSU SCHOOL OF DENTISTRY",
"city": "NEW ORLEANS,",
"state": "LA",
"postal_code": "701192799",
"telephone_number": "504-941-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAVUA",
"first_name": "EMMANUEL",
"middle_name": "KWEKU",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-10",
"last_updated": "2011-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans,, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.