Dennis Joseph Booth, D.D.S. M.SC.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2191 Issued in LA

Practice address

4420 Conlin St
Suite 202
Metairie, LA 70006-2167

Phone

(504) 454-6555

Fax

(504) 454-6555

NPI assigned

Mar 21, 2011

Last updated

Mar 21, 2011By the provider in NPPES

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

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300665600000",
    "number": "1417256165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 CONLIN ST",
            "address_2": "SUITE 202",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062167",
            "telephone_number": "504-454-6555",
            "fax_number": "504-454-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 CONLIN ST",
            "address_2": "SUITE 202",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062167",
            "telephone_number": "504-454-6555",
            "fax_number": "504-454-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "DENNIS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S. M.SC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "LA",
            "license": "2191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCUPATIONAL LICENSE TAX",
            "identifier": "537804",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marshall Keller Book, MD
• Randee L Booksh, PH.D
• Edward Joseph Boos, D.D.S.
• Boost Rehab
• Alonzo Booth III
• Bopp Dermatology and Facial Plastic Surgery
• Bopp Dermatology and Facial Plastic Surgery
• Barbara Schumann Bopp, M.D.
• Felix Planche Bopp, M.D.
• Mary Viola Bopp, LPC, NCC

• Orthodontics and Dentofacial Orthopedics Dentistry in Metairie, LA
• Providers in Metairie, LA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.