Wallace G Serpas III, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

4377 Issued in LA

Practice address

818 Perdido St
New Orleans, LA 70112-1026

Phone

(504) 525-9990

Fax

(504) 525-9050

NPI assigned

Mar 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538137278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 PERDIDO ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701121026",
            "telephone_number": "504-525-9990",
            "fax_number": "504-525-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 PERDIDO ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701121026",
            "telephone_number": "504-525-9990",
            "fax_number": "504-525-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERPAS",
        "first_name": "WALLACE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "4377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serenity Square of New Orleans Corp. (Ageless Healthcare)
• Robert Sergent, D.M.D.
• Steffan Sernich, MD
• Michael John Serou, MD, PHD
• Monique Fayard Serpas, PT
• Kim M Servay, CRNA, M.S.
• Sesa Suban Wellness Center, LLC
• Daniel John Sessions, M.D.
• Tiffany Setaro
• Karika Sethi, MD

• Dentist in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.