Individual provider Active NPI

Monique Elizabeth Giarrusso, DMD

  • General Practice Dentistry
  • Baton Rouge, LA
National Provider Identifier
1588280523
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7140 Issued in LA
Practice address
5842 Plank Rd
Baton Rouge, LA 70805-1320
Phone
(225) 357-9200
NPI assigned
Jun 24, 2020
Last updated
Nov 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7140 LA Primary

Addresses

Primary practice location

5842 Plank Rd
Baton Rouge, LA 70805-1320

Mailing address

76495 Highway 1082
Covington, LA 70435-6709
Phone (985) 502-1714

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
I20220422001729 LA Order and Referring Only - DentistPractitioner - Dentist 5597152470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Giarrusso Dental Group, LLC Current Accepting new patients
Frank Von Westernhagen, LLC, Dba Healthy Smiles General Practice PastSince Jun 28, 2020 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1588280523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76495 HIGHWAY 1082",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704356709",
            "telephone_number": "985-502-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5842 PLANK RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708051320",
            "telephone_number": "225-357-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIARRUSSO",
        "first_name": "MONIQUE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "7140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.