Active NPI
Connor Luke Costello, DDS
- General Practice Dentistry
- Monroe, LA
National Provider Identifier
1508659624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7661
- Practice address
- 2016 Tower Dr
Monroe, LA 71201-5036 - Phone
- (318) 387-5732
- NPI assigned
- May 22, 2025
- Last updated
- May 22, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7661 | LA | Primary |
Addresses
Primary practice location
2016 Tower Dr
Monroe, LA 71201-5036
Mailing address
2016 Tower Dr
Monroe, LA 71201-5036
Phone (318) 387-5732
Other practice location 1
7699 Highway 2
Farmerville, LA 71241-6165
Phone (318) 368-9518
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7661 | LA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nela Dental of Monroe, LLC | Current | Accepting new patients | |
| Nela Sleep PLLC | General Practice | Current | Accepting new patients |
Locations
2016 Tower Dr
Monroe, LA 71201
Phone (318) 387-5432
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Monroe, LA
- NPI 1750181632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747872000000",
"number": "1508659624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2016 TOWER DR",
"city": "MONROE",
"state": "LA",
"postal_code": "712015036",
"telephone_number": "318-387-5732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2016 TOWER DR",
"city": "MONROE",
"state": "LA",
"postal_code": "712015036",
"telephone_number": "318-387-5732"
}
],
"practiceLocations": [
{
"address_1": "7699 Highway 2",
"address_purpose": "LOCATION",
"city": "Farmerville",
"state": "LA",
"postal_code": "712416165",
"country_code": "US",
"telephone_number": "318-368-9518",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COSTELLO",
"first_name": "CONNOR",
"middle_name": "LUKE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-22",
"last_updated": "2025-05-22",
"certification_date": "2025-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "7661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, LA
- Cornerstone Behavioral Health, LLC (Family New Life Bastrop)
- Mary Dale Cornetta, LDN, RD
- Amber Cornwell
- Janine Corrent
- Valerie Costanza, MS RD LDN
- Cotton-Layton South Wellness (Community Wellness & Resource Hub)
- Jennifer L Cotton, NNP
- Counseling Associates of Nela
- Jeffrey Roy Counts, D.O.
- Donna L Courson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.