John B Gennaro, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2285 Issued in LA

Practice address

828 Avenue G
Marrero, LA 70072-1830

Phone

(504) 341-5200

Fax

(504) 341-6977

NPI assigned

Feb 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316073786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4917 GUIDRY ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700061120",
            "telephone_number": "504-779-6360",
            "fax_number": "504-341-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 AVENUE G",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700721830",
            "telephone_number": "504-341-5200",
            "fax_number": "504-341-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENNARO",
        "first_name": "JOHN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "2285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1822850",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittney Garcie, DNP, APRN, AGACNP-BC
• Kay M Garrity
• Bonnie D Gasquet-Johnson, M.D.
• Keisha Gatlin
• Timothy Peter Gaudet Jr.
• Genoa Healthcare LLC
• Matthew George
• Nichole Guillory George, MD/MPH
• Andrea D. Germond, M.D.
• Stephanie Anne Giampola, CCC-SLP

• General Practice Dentistry in Marrero, LA
• Providers in Marrero, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.