Individual provider Active NPI

Garrett Lipsey

  • General Practice Dentistry
  • Gonzales, LA
National Provider Identifier
1801323555
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6780 Issued in LA
Practice address
40470 Germany Rd
Gonzales, LA 70737-6735
Phone
(225) 622-2022
NPI assigned
May 12, 2017
Last updated
Mar 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 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 6780 LA Primary

Addresses

Primary practice location

40470 Germany Rd
Gonzales, LA 70737-6735

Mailing address

40470 Germany Rd
Gonzales, LA 70737-6735
Phone (225) 622-2022

Other practice location 1

1100 Florida Ave
New Orleans, LA 70119-2715
Phone (504) 941-8270

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
I20170714002308 LA Order and Referring Only - DentistPractitioner - Dentist 2163792730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6780LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Dental Associates, LLC General Practice CurrentSince Sep 28, 2025 Accepting new patients

Locations

40470 Germany Rd
Gonzales, LA 70737
Phone (225) 622-2022

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1801323555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40470 GERMANY RD",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707376735",
            "telephone_number": "225-622-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40470 GERMANY RD",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707376735",
            "telephone_number": "225-622-2022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Florida Ave",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701192715",
            "country_code": "US",
            "telephone_number": "504-941-8270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIPSEY",
        "first_name": "GARRETT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-12",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

Verify at the official NPI Registry.