Active NPI
Matthew Skrable Ganey, DDS
- Dentist
- Leesville, LA
National Provider Identifier
1295044907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6095
- Practice address
- 103 Belview Rd
Leesville, LA 71446-2902 - Phone
- (337) 239-2509
- Fax
- (337) 239-9764
- NPI assigned
- Sep 29, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6095 | LA | |
| Dentist | 122300000X | 6095 | LA | Primary |
Addresses
Primary practice location
103 Belview Rd
Leesville, LA 71446-2902
Mailing address
103 Belview Rd
Leesville, LA 71446-2902
Phone (337) 239-2509
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6095 | Other | LA | OUT OF NETWORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 2, 2022 through Aug 2, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6095 | LA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana Sleep Health, LLC | Current | Accepting new patients | |
| West Louisiana Dental LLC | General Practice | Current | Accepting new patients |
Locations
103 Belview Rd
Leesville, LA 71446
Phone (337) 239-2509
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Alexandria, LA
- NPI 1508625872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1295044907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 BELVIEW RD",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714462902",
"telephone_number": "337-239-2509",
"fax_number": "337-239-9764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 BELVIEW RD",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714462902",
"telephone_number": "337-239-2509",
"fax_number": "337-239-9764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANEY",
"first_name": "MATTHEW",
"middle_name": "SKRABLE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-29",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "6095",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "6095",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OUT OF NETWORK",
"identifier": "6095",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Leesville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.