NPIMap

Organization Active NPI

Crescent City Dentistry, LLC

  • General Practice Dentistry
  • Harahan, LA
National Provider Identifier
1962597542
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5373 Issued in LA
Legal business name
CRESCENT CITY DENTISTRY, LLC
Practice address
8229 Jefferson Hwy
Harahan, LA 70123
Phone
(504) 739-9778
Fax
(504) 739-9871
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Authorized official

Name
Dr. Cleopatra Eyvonne Thompson, D.D.S.
Title
Owner
Phone
(504) 739-9778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5373 LA Primary

Addresses

Primary practice location

8229 Jefferson Hwy
Harahan, LA 70123

Mailing address

8229 Jefferson Hwy
Harahan, LA 70123
Phone (504) 739-9778

Other identifiers 1

IdentifierTypeStateIssuer
1853739MedicaidLA

National Provider Directory

National Provider Directory

Locations

8229 Jefferson Hwy
Harahan, LA 70123
Phone (504) 308-0688

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1962597542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8229 JEFFERSON HWY",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "70123",
            "telephone_number": "504-739-9778",
            "fax_number": "504-739-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8229 JEFFERSON HWY",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "70123",
            "telephone_number": "504-739-9778",
            "fax_number": "504-739-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT CITY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CLEOPATRA",
        "authorized_official_middle_name": "EYVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-739-9778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1853739",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harahan, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.