CAVALLINO PEDIATRIC DENTISTRY (NPI# 1952659807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952659807 |
| Entity Type | Organization |
| Organization Name | CAVALLINO PEDIATRIC DENTISTRY |
| Other Organization Name | NEW ORLEANS CHILDRENS DENTAL CENTER |
| Practice Address |
6264 Canal Blvd Suite 1 New Orleans LA 70124 |
| Practice Telephone | 5048335528 |
| Practice Fax Number | 5048335542 |
| Mailing Telephone | 5048335528 |
| Mailing Fax Number | 5048335542 |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2015-07-30 |
| Authorized Official Name | DR. CLAUDIA A CAVALLINO (OWNER/DENTIST) |
| Authorized Official Telephone | 5048335528 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
5392 | LA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1853925 | 05 |
| Other Name | Type Code |
|---|---|
| New Orleans Childrens Dental Center | Doing Business As Name - Organization |
| Street Address |
6264 CANAL BLVD SUITE 1 |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114089067 | Kellie Scott Axelrad | Dentist | 6264 Canal Blvd, New Orleans, LA 70124-3030 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959609 | Kalli Jean Mcgrievy | Registered Nurse | 300 Lake Marina Ave, #14be, New Orleans, LA 70124 | 2020-03-31 |
| 1336797703 | Vanessa Batiste-leal | Case Manager/Care Coordinator | 827 S. Causeway Blvd, Suite 206, Metairie, LA 70124 | 2019-08-29 |
| 1215592571 | Laura M Hernandez | Counselor | 6270 Canal Blvd., New Orleans, LA 70124 | 2019-05-02 |
| 1164955092 | Craig Murphy | Dentist | 7300 Lakeshore Drive Apartment #11, New Orleans, LA 70124 | 2017-04-07 |
| 1881091643 | Charbonnet Health LLC | Pharmacy | 7211 Regent St., New Orleans, LA 70124 | 2014-11-21 |
| 1659790871 | Randy Michael Rossignol | Internal Medicine | 100 W. Harrison Ave. Ste. 101, Suite 101, New Orleans, LA 70124 | 2014-04-15 |
| 1457699019 | Lakeview Vision Source, LLC | Optometrist | 222 Harrison Avenue, New Orleans, LA 70124 | 2013-01-16 |
| 1376890319 | Ingrid Theresa Duffy | Nurse Practitioner | 928 Hidalgo St, New Orleans, LA 70124 | 2012-08-09 |
| 1053554840 | Lindsay Elise Ford | Internal Medicine | 7030 Canal Blvd, 2nd Floor, New Orleans, LA 70124 | 2009-04-09 |
| 1407010440 | Stephen J Delahoussaye | Dentist | 7037 Canal Blvd Suite 210, New Orleans, LA 70124 | 2008-07-17 |
| Find all providers in zip 70124 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619539483 | Nasrin Danaeifar | Dentist | 2164 Robin St Apt A, New Orleans, LA 70122-4048 | 2019-07-02 |
| 1689149551 | Uptown Pediatric Dentistry, LLC | Dentist | 3715 Prytania Street, Suite 380, New Orleans, LA 70115 | 2018-10-08 |
| 1235538075 | Austin Joseph Mcmurphy | Dentist | 6315 Hurst St, New Orleans, LA 70118-6162 | 2014-08-18 |
| 1518366368 | Kristoffer Norbo | Dentist | 1485 Tchoupitoulas St Apt 11103, New Orleans, LA 70130-1813 | 2014-08-18 |
| 1700906674 | Brigette Nicolle Jones | Dentist | 3700 Orleans Ave, Apt # 1306, New Orleans, LA 70119-4830 | 2007-04-02 |
| 1376562975 | Laura P Hogue | Dentist | 4001 Macarthur Blvd, New Orleans, LA 70114-6801 | 2006-07-18 |
| 1609893122 | Hugh F. Bullard | Dentist | 3502 S. Carrollton Avenue, Suite A, New Orleans, LA 70118 | 2006-07-17 |
| 1548759467 | Zafer Cavit Cehreli | Dentist | 1100 Florida Ave, New Orleans, LA 70119-2715 | 2018-05-07 |
| 1801201116 | Adele Newell | Dentist | 3502 S Carrollton Ave, New Orleans, LA 70118-4508 | 2014-06-25 |
| 1730516352 | Robert J Musselman | Dentist | 1100 Florida Ave, New Orleans, LA 70119-2714 | 2013-09-27 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70124 |
Please comment or provide details below to improve the information on CAVALLINO PEDIATRIC DENTISTRY.
| 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.