Individual provider Active NPI

Maurice A Lonergan III, DDS

  • Dentist
  • New Orleans, LA
National Provider Identifier
1780751610
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3853 Issued in LA
Practice address
7037 Canal Boulevard
Ste 208
New Orleans, LA 70124
Phone
(504) 282-1722
Fax
(504) 282-1755
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

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
Dentist 122300000X 3853 LA Primary

Addresses

Primary practice location

7037 Canal Boulevard
Ste 208
New Orleans, LA 70124

Mailing address

7037 Canal Boulevard
Ste 208
New Orleans, LA 70124
Phone (504) 282-1722

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
I20160917000017 LA Order and Referring Only - DentistPractitioner - Dentist 9931496072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3853LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey M Schott DDS PastSince Nov 13, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780751610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7037 CANAL BOULEVARD",
            "address_2": "STE 208",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70124",
            "telephone_number": "504-282-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7037 CANAL BOULEVARD",
            "address_2": "STE 208",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70124",
            "telephone_number": "504-282-1722",
            "fax_number": "504-282-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONERGAN",
        "first_name": "MAURICE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "3853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.