Active NPI
Maurice A Lonergan III, DDS
- Dentist
- New Orleans, LA
National Provider Identifier
1780751610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3853
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160917000017 | LA | Order and Referring Only - Dentist | 9931496072 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3853 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey M Schott DDS | Past | 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.
-
- Public Health Dentistry
- New Orleans, LA
- NPI 1275241374
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.