Individual provider Active NPI

Caesar Sweidan, DDS

  • Periodontics
  • Covington, LA
National Provider Identifier
1386842995
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
6248 Issued in LA
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

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
6248LAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Periodontics & Implants LLC Periodontics CurrentSince Jul 4, 2021 Accepting new patients
Baton Rouge Dental Specialists Periodontics Current Accepting new patients
St. Tammany Periodontics & Implants LLC Periodontics CurrentSince Jul 4, 2021 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.

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

Verify at the official NPI Registry.