Individual provider Active NPI

Lauren Dimes Stennis, D.D.S.

  • General Practice Dentistry
  • New Orleans, LA
National Provider Identifier
1417278151
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6070 Issued in LA
Practice address
701 N Broad St
New Orleans, LA 70119-4206
Phone
(504) 304-4981
Fax
(504) 605-4997
NPI assigned
Jun 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6070 LA
General Practice Dentistry 1223G0001X 6070 LA Primary

Addresses

Primary practice location

701 N Broad St
New Orleans, LA 70119-4206

Mailing address

701 N Broad St
New Orleans, LA 70119-4206
Phone (504) 304-4981

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
I20160210002474 LA Order and Referring Only - DentistPractitioner - Dentist 1254635378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6070LAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Philosophy Dental Care CurrentSince May 25, 2021 Accepting new patients
St Claude Gentle Dental Center Inc Past Accepting new patients

Locations

701 N Broad St
New Orleans, LA 70119
Phone (504) 304-4981

837 N Broad St
Ste 2A
New Orleans, LA 70119

Organizations & group practices 2

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": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1417278151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N BROAD ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701194206",
            "telephone_number": "504-304-4981",
            "fax_number": "504-605-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N BROAD ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701194206",
            "telephone_number": "504-304-4981",
            "fax_number": "504-605-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENNIS",
        "first_name": "LAUREN",
        "middle_name": "DIMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6070",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.