Individual provider Active NPI

Steven C Cummings, DDS

  • Dentist
  • Kenner, LA
National Provider Identifier
1467619007
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5882 Issued in LA
Practice address
2400 Veterans Memorial Blvd
Ste 210
Kenner, LA 70062-4715
Phone
(504) 833-3200
Fax
(504) 833-0813
NPI assigned
May 21, 2008
Last updated
May 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5882 LA Primary

Addresses

Primary practice location

2400 Veterans Memorial Blvd
Ste 210
Kenner, LA 70062-4715

Mailing address

2400 Veterans Blvd
Ste 210
Kenner, LA 70062-8723
Phone (504) 833-3200

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
I20160128001286 LA Order and Referring Only - DentistPractitioner - Dentist 7113220989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5882LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Regine Dyer DDS,LLC & Matthew Henson DDS, LLC PastSince Jan 17, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1467619007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 VETERANS BLVD",
            "address_2": "STE 210",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700628723",
            "telephone_number": "504-833-3200",
            "fax_number": "504-833-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 VETERANS MEMORIAL BLVD",
            "address_2": "STE 210",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700624715",
            "telephone_number": "504-833-3200",
            "fax_number": "504-833-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "STEVEN",
        "middle_name": "C",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "5882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

Verify at the official NPI Registry.