Marcela Liliana Jolivette, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6602 Issued in LA

Practice address

17097 Airline Hwy Ste 106
Prairieville, LA 70769

Phone

(225) 402-4004

Fax

(225) 402-4005

NPI assigned

Aug 4, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

State licenses

Practice roles

Locations

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.

• Louisiana Family Dental

  • General Practice Dentistry
  • Baton Rouge, LA
  • NPI 1376024810

  General Practice

  NPD

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1922484641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17097 AIRLINE HWY STE 106",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693576",
            "telephone_number": "225-402-4004",
            "fax_number": "225-402-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17097 AIRLINE HWY STE 106",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "70769",
            "telephone_number": "225-402-4004",
            "fax_number": "225-402-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLIVETTE",
        "first_name": "MARCELA",
        "middle_name": "LILIANA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6602",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha C Johnson, MS, CNIM
• Rachael Marie Johnson
• Stephanie Johnson, FNP-C
• Jaime Ann Johnston
• Joie de Vivre Counseling, LLC
• Stacy Denise Jones-Pedescleaux, M.D.
• Tasha Annette Jones
• Barbara Jordan
• Catrinel Elena Jordan, DDS, MS
• Jasmine Joseph

• All providers in Prairieville, LA
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.