Eduardo Menendez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5124 Issued in LA

Practice address

22464 Highway 435
Abita Springs, LA 70420-2206

Phone

(985) 893-7835

NPI assigned

Mar 7, 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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Grand Family Dentistry Abita Springs LLC

  • General Practice Dentistry
  • Abita Springs, LA
  • NPI 1114736774
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396875324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22464 HIGHWAY 435",
            "city": "ABITA SPRINGS",
            "state": "LA",
            "postal_code": "704202206",
            "telephone_number": "985-893-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22464 HIGHWAY 435",
            "city": "ABITA SPRINGS",
            "state": "LA",
            "postal_code": "704202206",
            "telephone_number": "985-893-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENENDEZ",
        "first_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851248",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ali Luchtman, PLPC
• Leslie M Magee, RPH
• Rachel Marquardt, M.A.,CCC-SLP
• Andrew Wayne Martin Sr., MD
• Tiffany Mejia, RAC
• Emily Elizabeth Meyers, LPC
• Thomas Jeffery Minarik II
• MRC Marketing (Healing Hope Behavioral Health Counseling Services)
• Whitney Nicholson, RN
• Simone Delaune Nolan

• General Practice Dentistry in Abita Springs, LA
• Providers in Abita Springs, 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.