Individual provider Active NPI

Jennifer Ann Rome, D.D.S

  • General Practice Dentistry
  • Harvey, LA
National Provider Identifier
1356606941
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6310 Issued in LA
Practice address
1901 Manhattan Blvd
BLDG F Suite 201
Harvey, LA 70058-3582
Phone
(504) 347-6000
NPI assigned
Jul 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6310 LA Primary

Addresses

Primary practice location

1901 Manhattan Blvd
BLDG F Suite 201
Harvey, LA 70058-3582

Mailing address

1901 Manhattan Blvd
BLDG F Suite 201
Harvey, LA 70058-3582
Phone (504) 347-6000

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
I20150617001347 LA Order and Referring Only - DentistPractitioner - Dentist 4183935174

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6310LAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1356606941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MANHATTAN BLVD",
            "address_2": "BLDG F SUITE 201",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700583582",
            "telephone_number": "504-347-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MANHATTAN BLVD",
            "address_2": "BLDG F SUITE 201",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700583582",
            "telephone_number": "504-347-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROME",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, LA

Sources for this page

Verify at the official NPI Registry.