Roy Lawrence Cantrelle, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5391 Issued in LA

Practice address

600 N Hwy 190
Suite 4
Covington, LA 70433

Phone

(985) 893-5522

Fax

(985) 871-0742

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831200252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4816 PURDUE DRIVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70003",
            "telephone_number": "504-885-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N HWY 190",
            "address_2": "SUITE 4",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "985-893-5522",
            "fax_number": "985-871-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTRELLE",
        "first_name": "ROY",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Campo, RPH
• Jordyn Campo
• Stephanie Cancienne, LOTR
• Keith E Cangelosi, MD
• Olivia Cannizaro
• Kenneth Capritto, C.O., BOCP
• Ilias N Caralopoulos, MD
• Emilio Rafael Cardenal, DO
• Cardiovascular and Thoracic Surgeons of the South, LLC
• Cardiovascular and Thoracic Surgical Specialists LLC

• General Practice Dentistry in Covington, LA
• Providers in Covington, LA by specialty
• General Practice Dentistry in Louisiana

• 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.

Verify at the official NPI Registry.