Individual provider Active NPI

Cleopatra Eyvonne Thompson, D.D.S.

  • General Practice Dentistry
  • Harahan, LA
National Provider Identifier
1467546077
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5373 Issued in LA
Practice address
8229 Jefferson Hwy
Harahan, LA 70123
Phone
(504) 739-9778
Fax
(504) 739-9871
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5373 LA Primary

Addresses

Primary practice location

8229 Jefferson Hwy
Harahan, LA 70123

Mailing address

8229 Jefferson Hwy
Harahan, LA 70123
Phone (504) 739-9778

Other identifiers 1

IdentifierTypeStateIssuer
1853739MedicaidLA

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
I20170329001680 LA Order and Referring Only - DentistPractitioner - Dentist 2668757964

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1467546077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8229 JEFFERSON HWY",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "70123",
            "telephone_number": "504-739-9778",
            "fax_number": "504-739-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8229 JEFFERSON HWY",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "70123",
            "telephone_number": "504-739-9778",
            "fax_number": "504-739-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CLEOPATRA",
        "middle_name": "EYVONNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1853739",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harahan, LA

Sources for this page

Verify at the official NPI Registry.