MARILLAC COMMUNITY HEALTH CENTERS (NPI# 1811245012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811245012 |
| Entity Type | Organization |
| Organization Name | MARILLAC COMMUNITY HEALTH CENTERS |
| Other Organization Name | DAUGHTERS OF CHARITY HEALTH CENTER ST CECILIA DENTAL |
| Practice Address |
1030 Lesseps St New Orleans LA 70117-4736 |
| Mailing Address |
3201 S Carrollton Ave New Orleans LA 70118-4307 |
| Practice Telephone | 5042073060 |
| Mailing Telephone | 5042073060 |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2012-08-17 |
| Authorized Official Name | MR. MICHAEL GRIFFIN (PRESIDENT/CEO) |
| Authorized Official Telephone | 5042073060 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Daughters of Charity Health Center St Cecilia Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073120614 | Marillac Community Health Centers | Clinic/Center | 721 Saint Philip St, New Orleans, LA 70116-2713 | 2020-09-28 |
| 1770198681 | Marillac Community Health Centers | Clinic/Center | 4000 Cadillac St, New Orleans, LA 70122-1117 | 2020-09-09 |
| 1528673308 | Marillac Community Health Centers | Clinic/Center | 5800 Saint Roch Ave, New Orleans, LA 70122-5336 | 2020-09-09 |
| 1013522879 | Marillac Community Health Centers | Clinic/Center | 1423 Saint Philip St, New Orleans, LA 70116-2933 | 2020-09-09 |
| 1669086690 | Marillac Community Health Centers | Clinic/Center | 1908 Short St, Kenner, LA 70062-7550 | 2020-09-08 |
| 1912548330 | Marillac Community Health Centers | Clinic/Center | 919 Cambronne St, New Orleans, LA 70118-1121 | 2019-10-07 |
| 1457816225 | Marillac Community Health Centers | Clinic/Center | 615 City Park Ave, New Orleans, LA 70119-4399 | 2019-02-06 |
| 1437622735 | Marillac Community Health Centers | Clinic/Center | 1501 Abundance St, New Orleans, LA 70119-2052 | 2019-01-09 |
| 1407325798 | Marillac Community Health Centers | Clinic/Center | 2600 A P Tureaud Ave, New Orleans, LA 70119-1208 | 2018-11-16 |
| 1841713963 | Marillac Community Health Centers | Clinic/Center | 7701 Grant St, New Orleans, LA 70126-4503 | 2017-07-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MARILLAC COMMUNITY HEALTH CENTERS | 3201 S Carrollton Ave, New Orleans, LA 70118-4307 |
| Street Address |
1030 LESSEPS ST |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70117-4736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093819518 | Monique Mcconduit Jones | Pediatrics | 1030 Lesseps St, New Orleans, LA 70117-4736 | 2006-09-13 |
| 1245744788 | Sue Ann Stokes | Social Worker | 1030 Lesseps St, New Orleans, LA 70117-4736 | 2017-11-20 |
| 1285987131 | Joanna Lorraine Dubinsky | Physician Assistant | 1030 Lesseps St, New Orleans, LA 70117-4736 | 2012-10-16 |
| 1780935973 | Marillac Community Health Centers | Clinic/Center | 1030 Lesseps St, New Orleans, LA 70117-4736 | 2012-09-27 |
| 1154680114 | Marillac Community Health Centers | Clinic/Center | 1030 Lesseps St, New Orleans, LA 70117-4736 | 2012-05-11 |
| 1558632877 | Daughters of Charity Services of New Orleans | Family Medicine | 1030 Lesseps St, New Orleans, LA 70117-4736 | 2012-01-18 |
| 1477638740 | Clifford Davis II | Dentist | 1030 Lesseps St, New Orleans, LA 70117-4736 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972130995 | Cyntrell Emma Patterson | Non-emergency Medical Transport (VAN) | 1247 Tennessee Street, New Orleans, LA 70117 | 2020-03-27 |
| 1558996496 | Martha S Cortez | Counselor | 1631 Elysian Fields, New Orleans, LA 70117 | 2020-03-11 |
| 1295204683 | Dora Hewitt | Home Health | 2001 Pauline St, N, New Orleans, LA 70117 | 2018-11-15 |
| 1285125484 | Nathaniel Roche | Counselor | 1800 Lamanche St., New Orleans, LA 70117 | 2018-05-23 |
| 1922528231 | Lenneria T Franklin | Counselor | 3028 Gentilly Blvd., New Orleans, LA 70117 | 2017-06-27 |
| 1770028425 | Marcus Jackson | Counselor | 2313 Almonaster Ave, New Orleans, LA 70117 | 2017-01-04 |
| 1174067243 | Jada Daniels | Case Manager/Care Coordinator | 1008 Forstall St, New Orleans, LA 70117 | 2016-12-08 |
| 1518413319 | Gwendolyn Craft | Counselor | 1719 Lamanche St, New Orleans, LA 70117 | 2016-08-31 |
| 1275975856 | Lean On Us, LLC | Community/Behavioral Health | 5500 St. Claude Avenue, New Orleans, LA 70117 | 2013-07-23 |
| 1982988283 | Kipp New Orleans Inc | Local Education Agency (LEA) | 3200 St. Claude Avenue, Kipp Leadership Academy, New Orleans, LA 70117 | 2011-10-05 |
| Find all providers in zip 70117 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457903387 | Brian Steven Goldfarb | Dentist | 3701 Conti St, Apt #3403, New Orleans, LA 70119 | 2019-07-11 |
| 1568925477 | Summer Glyn Swindle | Dentist | 4304 S Claiborne Ave, New Orleans, LA 70125-5104 | 2019-04-08 |
| 1194208280 | Danielle Alicia Beaudoin | Dentist | 4061 Behrman Pl, New Orleans, LA 70114-0932 | 2018-09-13 |
| 1528559069 | Daniel Do | Dentist | 1096 I-10 Service Road, New Orleans, LA 70128 | 2018-05-21 |
| 1013367879 | Todd J. Canatella, Jr. Apdc | Dentist | 101 W Robert E Lee Blvd Ste 305, New Orleans, LA 70124-2473 | 2016-06-13 |
| 1598128886 | Alyssa Brailsford | Dentist | 1100 Florida Ave Rm 4312m, New Orleans, LA 70119-2715 | 2016-04-04 |
| 1396138780 | Jennesia M Primas | Dentist | 611 Okeefe Ave Apt 5n29, New Orleans, LA 70113-1986 | 2015-03-10 |
| 1417362906 | Lani Marie Dassey | Dentist | 3502 S Carrollton Ave, Suite A, New Orleans, LA 70118-4508 | 2014-06-24 |
| 1831509629 | Tiffany Marie Perkins Washington | Dentist | 60 Yellowstone Dr, New Orleans, LA 70131-8659 | 2014-05-01 |
| 1841626264 | Theodora Kompotiati | Dentist | 1100 Florida Avenue Lsuhsc School of Dentistry, Department of Periodontics, 4th Floor, New Orleans, LA 70119 | 2013-09-17 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70117 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.