Active NPI
Vincent Dicarlo II, DDS
- Endodontics
- Baton Rouge, LA
National Provider Identifier
1700239498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 6674
- Practice address
- 9804 Bluebonnet Blvd Ste B
Baton Rouge, LA 70810-6479 - Phone
- (225) 766-3061
- NPI assigned
- Jul 18, 2016
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 6674 | LA | Primary |
Addresses
Primary practice location
9804 Bluebonnet Blvd Ste B
Baton Rouge, LA 70810-6479
Mailing address
905 Pasadena Ave
Metairie, LA 70001-3565
Phone (504) 669-8376
Other practice location 1
245 Veterans Blvd
Denham Springs, LA 70726-4720
Phone (225) 766-3061
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 |
|---|---|---|---|
| 6674 | LA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Denis E Simon III, Dr Michael Scott Bond and Gwendolyn Denise Co | Endodontics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Endodontics
- Baton Rouge, LA
- NPI 1962571018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545004800000",
"number": "1700239498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 PASADENA AVE",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700013565",
"telephone_number": "504-669-8376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9804 BLUEBONNET BLVD STE B",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708106479",
"telephone_number": "225-766-3061"
}
],
"practiceLocations": [
{
"address_1": "245 Veterans Blvd",
"address_purpose": "LOCATION",
"city": "Denham Springs",
"state": "LA",
"postal_code": "707264720",
"country_code": "US",
"telephone_number": "225-766-3061",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DICARLO",
"first_name": "VINCENT",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-18",
"last_updated": "2018-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "LA",
"license": "6674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.