Individual provider Active NPI

Barry L Radell, D.D.S.

  • Periodontics
  • Metairie, LA
National Provider Identifier
1801919808
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
2660 Issued in LA
Practice address
3521 N Arnoult Road
Ste. a
Metairie, LA 70002-3395
Phone
(504) 885-2611
Fax
(504) 780-8411
NPI assigned
Apr 6, 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
Periodontics 1223P0300X 2660 LA Primary

Addresses

Primary practice location

3521 N Arnoult Road
Ste. a
Metairie, LA 70002-3395

Mailing address

3521 N Arnoult Rd
Ste. a
Metairie, LA 70002-3395
Phone (504) 885-2611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2660LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Implants and Periodontics of Louisiana Periodontics 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.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801919808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 N ARNOULT RD",
            "address_2": "STE. A",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023395",
            "telephone_number": "504-885-2611",
            "fax_number": "504-780-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 N ARNOULT ROAD",
            "address_2": "STE. A",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023395",
            "telephone_number": "504-885-2611",
            "fax_number": "504-780-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADELL",
        "first_name": "BARRY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "LA",
            "license": "2660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.