Active NPI
Kenny Roy Oswald, DDS
- Dentist
- Baton Rouge, LA
National Provider Identifier
1457539025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2223
- Practice address
- 3557 Monterrey Drive
Baton Rouge, LA 70814 - Phone
- (225) 927-8968
- Fax
- (225) 925-2258
- NPI assigned
- Feb 6, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2223 | LA | Primary |
Addresses
Primary practice location
3557 Monterrey Drive
Baton Rouge, LA 70814
Mailing address
3557 Monterrey Drive
Baton Rouge, LA 70814
Phone (225) 927-8968
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210526002068 | LA | Order and Referring Only - Dentist | 9436558350 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2223 | LA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202256000000",
"number": "1457539025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3557 MONTERREY DRIVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70814",
"telephone_number": "225-927-8968",
"fax_number": "225-925-2258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3557 MONTERREY DRIVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70814",
"telephone_number": "225-927-8968",
"fax_number": "225-925-2258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSWALD",
"first_name": "KENNY",
"middle_name": "ROY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-06",
"last_updated": "2008-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "2223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.