Kellene M. Cole DDS a.P.D.C.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KELLENE M. COLE DDS A.P.D.C.

Practice address

9541 Jefferson Hwy
River Ridge, LA 70123

Phone

(504) 738-1567

Fax

(504) 738-1571

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Richelle K. Punch

Title

Office Manager

Phone

(504) 738-1567

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jackson and Cole D.D.S. Former legal business name

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jorge Alejandro Rodriguez, DDS

  • General Practice Dentistry
  • River Ridge, LA
  • NPI 1750121810
  NPD
• Kellene Marie Cole, DDS

  • Prosthodontics
  • River Ridge, LA
  • NPI 1699891572
  NPD (past)
• Anthony Jackson, DDS

  • Dentist
  • River Ridge, LA
  • NPI 1730218132
  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1710015474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9541 JEFFERSON HWY",
            "city": "RIVER RIDGE",
            "state": "LA",
            "postal_code": "70123",
            "telephone_number": "504-738-1567",
            "fax_number": "504-738-1571"
        },
        {
            "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": "70123",
            "telephone_number": "504-738-1567",
            "fax_number": "504-738-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLENE M. COLE DDS A.P.D.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "PUNCH",
        "authorized_official_first_name": "RICHELLE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "504-738-1567",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26343",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson and Cole D.D.S.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Marquita James
• Annie Jefferson
• Kelly Giardina Johnson, PHARMD
• Meghan Jones, MD, MPH
• Kelsey Amanda Joseph, SLP-A
• Barbara Ann Keller, LOT
• Jaren Kennedy
• Anas Youssef Khouri, MD
• Elizabeth Knowles
• Ashley Kospelich, M.S.,CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.