Individual provider Active NPI

Stephen James Tomaszewski, DDS

  • Dentist
  • Slidell, LA
National Provider Identifier
1528021128
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5589 Issued in LA
Practice address
1275 7TH St
Slidell, LA 70458-2041
Phone
(985) 641-4444
NPI assigned
Apr 6, 2006
Last updated
Feb 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5589 LA Primary

Addresses

Primary practice location

1275 7TH St
Slidell, LA 70458-2041

Mailing address

1275 7TH St
Slidell, LA 70458-2041
Phone (985) 641-4444

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
I20160205000031 LA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2668776071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5589LAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1528021128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 7TH ST",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582041",
            "telephone_number": "985-641-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 7TH ST",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582041",
            "telephone_number": "985-641-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMASZEWSKI",
        "first_name": "STEPHEN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "5589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.