Individual provider Active NPI

Kristi Marsue Soileau, D.D.S.

  • Periodontics
  • New Orleans, LA
National Provider Identifier
1679656045
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
4116 Issued in LA
Practice address
2820 Napoleon Ave Ste 470
New Orleans, LA 70115-8233
Phone
(504) 899-2255
NPI assigned
Oct 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 4116 LA Primary

Addresses

Primary practice location

2820 Napoleon Ave Ste 470
New Orleans, LA 70115-8233

Mailing address

2820 Napoleon Ave Ste 470
New Orleans, LA 70115-8233
Phone (504) 899-2255

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
I20150702001952 LA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 7810209962

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4116LAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Kristi Soileau Dental Sleep Medicine LLC Current Accepting new patients
Dr. Kristi M. Soileau, LLC Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679656045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 NAPOLEON AVE STE 470",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701158233",
            "telephone_number": "504-899-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 NAPOLEON AVE STE 470",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701158233",
            "telephone_number": "504-899-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOILEAU",
        "first_name": "KRISTI",
        "middle_name": "MARSUE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "LA",
            "license": "4116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.