NPIMap

Organization Active NPI

Joseph B. Marino, Jr. D.D.S., P.C.

Doing business as Lakefront Dental Care

  • Dentist
  • New Orleans, LA
National Provider Identifier
1821219544
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3433 Issued in LA
Legal business name
JOSEPH B. MARINO, JR. D.D.S., P.C.
Doing business as
Lakefront Dental Care
Practice address
7037 Canal Blvd
Suite 210
New Orleans, LA 70124-3453
Phone
(504) 282-5557
Fax
(504) 286-0038
NPI assigned
May 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Elizabeth Ashley Sheppard
Title
Office Manager
Phone
(504) 282-5557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3433 LA Primary

Addresses

Primary practice location

7037 Canal Blvd
Suite 210
New Orleans, LA 70124-3453

Mailing address

7037 Canal Blvd
Suite 210
New Orleans, LA 70124-3453
Phone (504) 282-5557

Other names 1

  • Lakefront Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

7037 Canal Blvd
Ste 210
New Orleans, LA 70124
Phone (504) 282-5557

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821219544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7037 CANAL BLVD",
            "address_2": "SUITE 210",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701243453",
            "telephone_number": "504-282-5557",
            "fax_number": "504-286-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7037 CANAL BLVD",
            "address_2": "SUITE 210",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701243453",
            "telephone_number": "504-282-5557",
            "fax_number": "504-286-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH B. MARINO, JR. D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "504-282-5557",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "LA",
            "license": "3433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakefront Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.