Organization Active NPI

Lsu Health Sciences Center Lsu Faculty Dental Practice

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Metairie, LA
National Provider Identifier
1295837326
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
LSU HEALTH SCIENCES CENTER LSU FACULTY DENTAL PRACTICE
Practice address
3800 Houma Blvd
Suite 305
Metairie, LA 70006
Phone
(504) 889-9893
Fax
(504) 889-9895
NPI assigned
Sep 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Sylvia D Morphy
Title
Practice Manager
Phone
(504) 889-9893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193200000X MULTI-SPECIALTY GROUP 204E00000X Primary

Addresses

Primary practice location

3800 Houma Blvd
Suite 305
Metairie, LA 70006

Mailing address

3800 Houma Blvd
Suite 305
Metairie, LA 70006
Phone (504) 889-9893

Other identifiers 1

IdentifierTypeStateIssuer
1880213MedicaidLA

Other names 1

  • State Institution Other name

National Provider Directory

National Provider Directory

Locations

1100 Florida Ave
Rm 1340
New Orleans, LA 70119

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295837326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 HOUMA BLVD",
            "address_2": "SUITE 305",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70006",
            "telephone_number": "504-889-9893",
            "fax_number": "504-889-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HOUMA BLVD",
            "address_2": "SUITE 305",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70006",
            "telephone_number": "504-889-9893",
            "fax_number": "504-889-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSU HEALTH SCIENCES CENTER LSU FACULTY DENTAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORPHY",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "504-889-9893",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1880213",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "State Institution",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.