Individual provider Active NPI

Cynthia Paige Volentine

  • Dentist
  • Ruston, LA
National Provider Identifier
1306995881
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5674 Issued in LA
Practice address
306 E. Reynolds Dr
Suite 1
Ruston, LA 71270
Phone
(318) 255-6780
Fax
(318) 395-0169
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5674 LA Primary

Addresses

Primary practice location

306 E. Reynolds Dr
Suite 1
Ruston, LA 71270

Mailing address

306 E. Reynolds Dr
Suite 1
Ruston, LA 71270
Phone (318) 255-6780

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
I20240710001788 LA Practitioner - Dentist 3274878202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Louisiana State University School of Dentistry, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Trenton Sleep Solutions, L.L.C.Group PAC ID 3375987977, 2 clinicians

Practice addresses (Care Compare)

2571 Tower Dr
Suite 10
Monroe, LA 71201-5700
Phone (318) 255-7946

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5674LAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Trenton Sleep Solutions, L.L.C. Dentist CurrentSince May 19, 2024 Accepting new patients
Trenton Dental Center LLC Dentist CurrentSince Oct 1, 2008 Accepting new patients
Johnston Dental Care Dentist Past Accepting new patients

Locations

2571 Tower Dr
Ste 10
Monroe, LA 71201
Phone (318) 255-7946

1605 N Trenton St
Ruston, LA 71270
Phone (318) 255-7946

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306995881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E. REYNOLDS DR",
            "address_2": "SUITE 1",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "71270",
            "telephone_number": "318-255-6780",
            "fax_number": "318-395-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E. REYNOLDS DR",
            "address_2": "SUITE 1",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "71270",
            "telephone_number": "318-255-6780",
            "fax_number": "318-395-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLENTINE",
        "first_name": "CYNTHIA",
        "middle_name": "PAIGE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "5674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

Verify at the official NPI Registry.