Esperanza Mendoza Prato, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5697 Issued in LA

Practice address

2816 1St Ave
Lake Charles, LA 70601-8808

Phone

(337) 437-7107

Fax

(337) 437-7141

NPI assigned

Dec 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Swla Center for Health Services

  • Federally Qualified Health Center (FQHC)
  • Lake Charles, LA
  • NPI 1720014186
  NPD (past)
• Swla Center for Health Services

  • Federally Qualified Health Center (FQHC)
  • Oberlin, LA
  • NPI 1942645007
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851450860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 1ST AVE",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018808",
            "telephone_number": "337-437-7107",
            "fax_number": "337-437-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 1ST AVE",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018808",
            "telephone_number": "337-437-7107",
            "fax_number": "337-437-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATO",
        "first_name": "ESPERANZA",
        "middle_name": "MENDOZA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID #",
            "identifier": "H4597",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia D. Post, PH.D.
• Zuri Poullard
• John Kalieb Pourciau, D.P.M.
• Tara Lyne Powell
• Powerful Healing Wound Care, LLC
• Mary Praylor
• Adam Brian Precht, FNP
• C Keith Prejean, P.D.
• Cullen Joseph Prejean, PHARM. D
• Leon Ware Prejean, RNFA

• General Practice Dentistry in Lake Charles, LA
• Providers in Lake Charles, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.