Active NPI
Guy Gerard Cresson, D.D.S.
- General Practice Dentistry
- Metairie, LA
National Provider Identifier
1902060437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3386
- Practice address
- 1569 Lake Ave
Metairie, LA 70005-5014 - Phone
- (504) 831-6900
- Fax
- (504) 837-0003
- NPI assigned
- Jul 14, 2008
- Last updated
- Jul 14, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3386 | LA | Primary |
Addresses
Primary practice location
1569 Lake Ave
Metairie, LA 70005-5014
Mailing address
1569 Lake Ave
Metairie, LA 70005-5014
Phone (504) 831-6900
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3386 | LA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215993600000",
"number": "1902060437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1569 LAKE AVE",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700055014",
"telephone_number": "504-831-6900",
"fax_number": "504-837-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1569 LAKE AVE",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700055014",
"telephone_number": "504-831-6900",
"fax_number": "504-837-0003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRESSON",
"first_name": "GUY",
"middle_name": "GERARD",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-14",
"last_updated": "2008-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "3386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Metairie, LA
- Crescent City Surgical Centre Diagnostics, LLC
- Crescent City Surgical Centre Operating Company, L.L.C.
- Crescent City Surgical Centre Operating Company, L.L.C.
- Crescent Vans
- Crescent View Surgery Center, LLC
- Russell Jeffrey Cresson, DDS, MS
- Creveling-Benefield LLC
- Christiane Creveling-Benefield, PH.D.
- Jake Charles Crifasi Jr., BCBA, LBA
- Brittany Josie Crockett
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.