Active NPI
Bryce G. Cordell, DDS
- Endodontics
- New Orleans, LA
National Provider Identifier
1609352335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 6844
- Practice address
- 1100 Florida Avenue
New Orleans, LA 70119 - Phone
- (504) 619-8900
- NPI assigned
- Jul 16, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 6844 | LA | Primary |
Addresses
Primary practice location
1100 Florida Avenue
New Orleans, LA 70119
Mailing address
4708 Belle Dr Apt D
Metairie, LA 70006-2265
Phone (260) 458-1833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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 |
|---|---|---|---|---|
| I20240821001749 | IN | Order and Referring Only - Dentist | 5799223723 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6844 | LA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531699200000",
"number": "1609352335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4708 BELLE DR APT D",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700062265",
"telephone_number": "260-458-1833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 FLORIDA AVENUE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "70119",
"telephone_number": "504-619-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDELL",
"first_name": "BRYCE",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-16",
"last_updated": "2018-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "LA",
"license": "6844",
"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 Jul 16, 2018; 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.