Active NPI
Michael Adam Adragna, D.D.S.
- General Practice Dentistry
- New Orleans, LA
National Provider Identifier
1689013039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6375
- Practice address
- 4141 Bienville St Ste 105
New Orleans, LA 70119-5149 - Phone
- (504) 900-1195
- NPI assigned
- Jun 19, 2013
- Last updated
- Mar 19, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6375 | LA | Primary |
Addresses
Primary practice location
4141 Bienville St Ste 105
New Orleans, LA 70119-5149
Mailing address
4141 Bienville St Ste 105
New Orleans, LA 70119-5149
Phone (504) 900-1195
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6375 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exceptional Dental of Metairie, LLC | General Practice | Past | Accepting new patients |
| Exceptional Dental of Watson, LLC | Past | 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.
-
- General Practice Dentistry
- Metairie, LA
- NPI 1326575945
-
- Dentist
- Denham Springs, LA
- NPI 1982180279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616112000000",
"number": "1689013039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4141 BIENVILLE ST STE 105",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701195149",
"telephone_number": "504-900-1195",
"fax_number": "504-618-1385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4141 BIENVILLE ST STE 105",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701195149",
"telephone_number": "504-900-1195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADRAGNA",
"first_name": "MICHAEL",
"middle_name": "ADAM",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-19",
"last_updated": "2021-03-19",
"certification_date": "2021-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "6375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
- Administrators of the Tulane Educational Fund (Tulane University Medical Group)
- Administrators of the Tulane Educational Fund (New Orleans Children's Health Project)
- Johnnie Adolph, DPT
- Vincent R. Adolph, MD
- Adoring Care HHC LLC
- Adrian James MD
- John Adriatico, LPCA
- Advance Home Care Services, LLC
- Advance Home Care Services, LLC
- Advance Home Care Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.