Individual provider Active NPI

Leneshia Denea Haynes, DDS

  • General Practice Dentistry
  • Hammond, LA
National Provider Identifier
1710448584
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6696 Issued in LA
Practice address
800 C M Fagan Dr Ste a
Hammond, LA 70403-6062
Phone
(312) 316-6056
NPI assigned
Mar 26, 2019
Last updated
Apr 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6696 LA Primary

Addresses

Primary practice location

800 C M Fagan Dr Ste a
Hammond, LA 70403-6062

Mailing address

2932 Saint Ann St
New Orleans, LA 70119-4128
Phone (312) 316-6056

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Lhayn1@lsuhsc.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200117001388 LA Order and Referring Only - DentistPractitioner - Dentist 0941635015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6696LAMDSpeech-Language Pathologist

Interoperability endpoints

  • Direct secure messaging: lhayn1@lsuhsc.edu

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1710448584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2932 SAINT ANN ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701194128",
            "telephone_number": "312-316-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 C M FAGAN DR STE A",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704036062",
            "telephone_number": "312-316-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "LENESHIA",
        "middle_name": "DENEA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lhayn1@lsuhsc.edu",
            "affiliation": "N",
            "address_1": "800 C M Fagan Dr Ste A",
            "city": "Hammond",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704036062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.