Individual provider Active NPI

Alexander David Degenova, BS, MS, DDS

  • Dentist
  • New Orleans, LA
National Provider Identifier
1598405862
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7643 Issued in LA
Practice address
5529 Cherlyn Dr
New Orleans, LA 70124-1136
Phone
(504) 615-0066
NPI assigned
Apr 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7643 LA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

5529 Cherlyn Dr
New Orleans, LA 70124-1136

Mailing address

5627 Evelyn CT
New Orleans, LA 70124-1044
Phone (504) 615-0066

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
I20220718003724 LA Order and Referring Only - DentistPractitioner - Dentist 2163803479

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Master of Science

State licenses

LicenseStateTypeSpecialty
7643LAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1598405862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5627 EVELYN CT",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701241044",
            "telephone_number": "504-615-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5529 CHERLYN DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701241136",
            "telephone_number": "504-615-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGENOVA",
        "first_name": "ALEXANDER",
        "middle_name": "DAVID",
        "credential": "BS, MS, DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-01",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "7643",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.