Active NPI
Caesar Sweidan, DDS
- Periodontics
- Covington, LA
National Provider Identifier
1386842995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 6248
- Practice address
- 5024 Keystone Blvd Ste a
Covington, LA 70433-7517 - Phone
- (985) 778-0241
- Fax
- (985) 778-0428
- NPI assigned
- Jul 5, 2007
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CT | ||
| Periodontics | 1223P0300X | 6248 | LA | Primary |
Addresses
Primary practice location
5024 Keystone Blvd Ste a
Covington, LA 70433-7517
Mailing address
5024 Keystone Blvd Ste a
Covington, LA 70433-7517
Phone (985) 778-0241
Other practice location 1
1414 Old Spanish Trl
Slidell, LA 70458-5022
Phone (985) 778-0241
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | csweidan@sttammanyperio.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 25, 2017 through Apr 25, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6248 | LA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Periodontics & Implants LLC | Periodontics | Current | Accepting new patients |
| Baton Rouge Dental Specialists | Periodontics | Current | Accepting new patients |
| St. Tammany Periodontics & Implants LLC | Periodontics | Current | Accepting new patients |
Locations
5024 Keystone Blvd
Ste A
Covington, LA 70433
Phone (985) 778-0241
1414 Old Spanish Trl
Slidell, LA 70458
Phone (504) 330-0253
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.
-
- Periodontics
- Baton Rouge, LA
- NPI 1770235731
-
- Periodontics
- Covington, LA
- NPI 1104496744
-
- Periodontics
- Gulfport, MS
- NPI 1730759374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600819200000",
"number": "1386842995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5024 KEYSTONE BLVD STE A",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337517",
"telephone_number": "985-778-0241",
"fax_number": "985-778-0428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5024 KEYSTONE BLVD STE A",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337517",
"telephone_number": "985-778-0241",
"fax_number": "985-778-0428"
}
],
"practiceLocations": [
{
"address_1": "1414 Old Spanish Trl",
"address_purpose": "LOCATION",
"city": "Slidell",
"state": "LA",
"postal_code": "704585022",
"country_code": "US",
"telephone_number": "985-778-0241",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SWEIDAN",
"first_name": "CAESAR",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-05",
"last_updated": "2020-09-23",
"certification_date": "2020-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CT",
"license": null,
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "LA",
"license": "6248",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "csweidan@sttammanyperio.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5024 Keystone Blvd Ste A",
"city": "Covington",
"state": "LA",
"country_code": "US",
"postal_code": "704337517",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.