Active NPI
Jyoti Puri
- Periodontics
- New Orleans, LA
National Provider Identifier
1548532930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- AL5027087R154
- Practice address
- 1900 Perdido St Apt A54
New Orleans, LA 70112-1369 - Phone
- (214) 457-9344
- NPI assigned
- Feb 1, 2012
- Last updated
- Feb 1, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | AL5027087R154 | LA | Primary |
Addresses
Primary practice location
1900 Perdido St Apt A54
New Orleans, LA 70112-1369
Mailing address
1900 Perdido St Apt A54
New Orleans, LA 70112-1369
Phone (214) 457-9344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150616000751 | IL | Order and Referring Only - Dentist | 2769793835 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL5027087R154 | LA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328054400000",
"number": "1548532930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 PERDIDO ST APT A54",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701121369",
"telephone_number": "214-457-9344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 PERDIDO ST APT A54",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701121369",
"telephone_number": "214-457-9344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURI",
"first_name": "JYOTI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-01",
"last_updated": "2012-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "LA",
"license": "AL5027087R154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.