Active NPI
Kacey F Guillory, DDS
- Dentist
- Kenner, LA
National Provider Identifier
1962065367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6959
- Practice address
- 2240 Veterans Memorial Blvd
Kenner, LA 70062-5673 - Phone
- (504) 666-9358
- NPI assigned
- Apr 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6959 | LA | Primary |
Addresses
Primary practice location
2240 Veterans Memorial Blvd
Kenner, LA 70062-5673
Mailing address
140 Francois Dr
Lafayette, LA 70507-9735
Phone (337) 412-8996
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 |
|---|---|---|---|
| 6959 | LA | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559520000000",
"number": "1962065367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 FRANCOIS DR",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705079735",
"telephone_number": "337-412-8996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 VETERANS MEMORIAL BLVD",
"city": "KENNER",
"state": "LA",
"postal_code": "700625673",
"telephone_number": "504-666-9358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILLORY",
"first_name": "KACEY",
"middle_name": "F",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-21",
"last_updated": "2019-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "6959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenner, LA
- Greenwood Trans and Support LLC
- Deishonda Greenwood, LCSW
- Benjamin Grugan, MD
- Claudia Paguada Guepet, FNP-C
- Jensen Faucheux Guidroz, FNP
- Kenneth Ray Guillory
- Rhonda A Guinot, LCSW
- Gulf South Medical & Surgical Institute
- Gulf States Long Term Acute Care of New Orleans, LLC
- Brittany Salemi Gurley, O.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.