Individual provider Active NPI

Rodney Isolani, DDS

  • Endodontics
  • Covington, LA
National Provider Identifier
1710028204
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
6295 Issued in LA
Practice address
121 Lakeview Cir
Ste 2
Covington, LA 70433-7513
Phone
(985) 893-0715
Fax
(985) 893-0724
NPI assigned
Feb 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 6295 LA Primary
Endodontics 1223E0200X 3669-12 MS
Endodontics 1223E0200X 7122 TN

Addresses

Primary practice location

121 Lakeview Cir
Ste 2
Covington, LA 70433-7513

Mailing address

121 Lakeview Cir
Ste 2
Covington, LA 70433-7513
Phone (985) 893-0715

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

LicenseStateTypeSpecialty
6295LAMDEndodontist
3669-12MSMDEndodontist
7122TNMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1710028204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 LAKEVIEW CIR",
            "address_2": "STE 2",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337513",
            "telephone_number": "985-893-0715",
            "fax_number": "985-893-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 LAKEVIEW CIR",
            "address_2": "STE 2",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337513",
            "telephone_number": "985-893-0715",
            "fax_number": "985-893-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISOLANI",
        "first_name": "RODNEY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "LA",
            "license": "6295",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MS",
            "license": "3669-12",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TN",
            "license": "7122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.