Individual provider Active NPI

Arsys Eetessam, DDS

  • Dentist
  • New Orleans, LA
National Provider Identifier
1578362018
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7670 Issued in LA
Practice address
1100 Florida Ave
New Orleans, LA 70119-2743
Phone
(504) 941-8212
NPI assigned
Mar 8, 2025
Last updated
Feb 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7670 LA Primary

Addresses

Primary practice location

1100 Florida Ave
New Orleans, LA 70119-2743

Mailing address

29 Monte Carlo Dr
Kenner, LA 70065-2028

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
I20250613002187 LA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5193236461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7670LAMDMental Health Counselor

Interoperability endpoints

  • Direct secure messaging: aeetessam5336456@direct.casso.us.com

NPI Registry JSON

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

{
    "created_epoch": "1741392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1578362018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 MONTE CARLO DR",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 FLORIDA AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701192743",
            "telephone_number": "504-941-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EETESSAM",
        "first_name": "ARSYS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-08",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "7670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.