Organization Active NPI

Bopp Dermatology and Facial Plastic Surgery

  • Dermatology Physician
  • Metairie, LA
National Provider Identifier
1831244375
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
BOPP DERMATOLOGY AND FACIAL PLASTIC SURGERY
Practice address
3421 N Causeway Blvd
Suite 102
Metairie, LA 70002-3733
Phone
(504) 455-9933
Fax
(504) 888-8221
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Suelynn Resendez
Title
Office Manager
Phone
(504) 455-9933

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary
Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2082S0099X

Addresses

Primary practice location

3421 N Causeway Blvd
Suite 102
Metairie, LA 70002-3733

Mailing address

3421 N Causeway Blvd
Suite 102
Metairie, LA 70002-3733
Phone (504) 455-9933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100427000095 LA Part B Supplier - Clinic/Group Practice 4880721604 Receives reassigned benefits from 5 practitioners
Practice locations: Metairie, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1831244375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 N CAUSEWAY BLVD",
            "address_2": "SUITE 102",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023733",
            "telephone_number": "504-455-9933",
            "fax_number": "504-888-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 N CAUSEWAY BLVD",
            "address_2": "SUITE 102",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023733",
            "telephone_number": "504-455-9933",
            "fax_number": "504-888-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOPP DERMATOLOGY AND FACIAL PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "RESENDEZ",
        "authorized_official_first_name": "SUELYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "504-455-9933"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.