Kellene Marie Cole, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

3936 Issued in LA

Practice address

9541 Jefferson Hwy
River Ridge, LA 70123-2507

Phone

(504) 738-1567

NPI assigned

Mar 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kellene M. Cole DDS a.P.D.C.

  • Dentist
  • River Ridge, LA
  • NPI 1710015474
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699891572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 RURAL ST",
            "city": "RIVER RIDGE",
            "state": "LA",
            "postal_code": "701232745",
            "telephone_number": "504-737-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9541 JEFFERSON HWY",
            "city": "RIVER RIDGE",
            "state": "LA",
            "postal_code": "701232507",
            "telephone_number": "504-738-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "KELLENE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "LA",
            "license": "3936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Martin Cash Sr., DDS
• Brent Cashio
• Aimee Castellon Maestri, NP-C
• Catherine Gallagher Behavioral Health, LLC
• Maryanne L Colburn, R.T.
• Caitlin Higgins Comardelle, PHARMD
• Melissa Ann Conzelman
• Crescent Speech & Hearing
• Sandy Dang
• Thu T Dang, CRNA

• Prosthodontics in River Ridge, LA
• Providers in River Ridge, LA by specialty
• Prosthodontics in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.