Individual provider Active NPI

Lloyd A Pizzaloto Jr., DDS

  • General Practice Dentistry
  • La Place, LA
National Provider Identifier
1720114358
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
LA3325 Issued in LA
Practice address
301 W Airline Hwy Ste 200
La Place, LA 70068-3823
Phone
(985) 652-1214
Fax
(985) 652-0511
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LA3325 LA Primary

Addresses

Primary practice location

301 W Airline Hwy Ste 200
La Place, LA 70068-3823

Mailing address

301 W Airline Hwy Ste 200
La Place, LA 70068-3823
Phone (985) 652-1214

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
I20160205000282 LA Order and Referring Only - DentistPractitioner - Dentist 8022312446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3325LAMDProfessional Counselor
LA3325LAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720114358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W AIRLINE HWY STE 200",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700683823",
            "telephone_number": "985-652-1214",
            "fax_number": "985-652-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W AIRLINE HWY STE 200",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700683823",
            "telephone_number": "985-652-1214",
            "fax_number": "985-652-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZZALOTO",
        "first_name": "LLOYD",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "LA3325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Place, LA

Sources for this page

Verify at the official NPI Registry.