Active NPI
Angelica Celestin, DDS
- General Practice Dentistry
- La Place, LA
National Provider Identifier
1972127892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7158
- Practice address
- 112 River Pointe
La Place, LA 70068-2953 - Phone
- (504) 606-4045
- NPI assigned
- Jun 5, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 7158 | LA | Primary |
Addresses
Primary practice location
112 River Pointe
La Place, LA 70068-2953
Mailing address
112 River Pointe
La Place, LA 70068-2953
Phone (504) 606-4045
Other practice location 1
3001 Branch Ave Apt 609
Temple Hills, MD 20748-1017
Phone (504) 606-4045
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200720001888 | LA | Order and Referring Only - Dentist | 1153745435 |
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
9516 Airline Hwy
Baton Rouge, LA 70815
9516 Airline Hwy
Baton Rouge, LA 70815-5501
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7158 | LA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626393600000",
"number": "1972127892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 RIVER POINTE",
"city": "LA PLACE",
"state": "LA",
"postal_code": "700682953",
"telephone_number": "504-606-4045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 RIVER POINTE",
"city": "LA PLACE",
"state": "LA",
"postal_code": "700682953",
"telephone_number": "504-606-4045"
}
],
"practiceLocations": [
{
"address_1": "3001 Branch Ave Apt 609",
"address_purpose": "LOCATION",
"city": "Temple Hills",
"state": "MD",
"postal_code": "207481017",
"country_code": "US",
"telephone_number": "504-606-4045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CELESTIN",
"first_name": "ANGELICA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-05",
"last_updated": "2021-07-16",
"certification_date": "2021-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "7158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Place, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.