Active NPI
Sophia Olivia Cacioppo, DDS
- Dentist
- Gretna, LA
National Provider Identifier
1962241570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7523
- Practice address
- 309 Gretna Blvd
Gretna, LA 70053-4973 - Phone
- (504) 366-5611
- NPI assigned
- May 22, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 7523 | LA | Primary |
Addresses
Primary practice location
309 Gretna Blvd
Gretna, LA 70053-4973
Mailing address
2568 Kismet St
Marrero, LA 70072-5453
Phone (504) 228-3601
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 |
|---|---|---|---|
| 7523 | LA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1962241570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2568 KISMET ST",
"city": "MARRERO",
"state": "LA",
"postal_code": "700725453",
"telephone_number": "504-228-3601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 GRETNA BLVD",
"city": "GRETNA",
"state": "LA",
"postal_code": "700534973",
"telephone_number": "504-366-5611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CACIOPPO",
"first_name": "SOPHIA",
"middle_name": "OLIVIA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-22",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "7523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gretna, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.