LSU HEALTH SCIENCES CENTER LSU FACULTY DENTAL PRACTICE
NPI 1154543288
Dentist - Oral and Maxillofacial Pathology in New Orleans, LA

Active since May 02, 2007
1100 FLORIDA AVE, BOX 131, NEW ORLEANS, LA 70119(504) 619-8721(504) 941-8001 Get Directions Write a Review

NPPES record last updated: July 23, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lsu Health Sciences Center Lsu Faculty Dental Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LSU HEALTH SCIENCES CENTER LSU FACULTY DENTAL PRACTICE (NPI 1154543288) is a healthcare organization registered as an oral and maxillofacial pathology in New Orleans, Louisiana and active in the NPI registry since May 2007. The organization lists Sue H. Speegle, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1154543288
Entity TypeOrganization
Primary Taxonomy1223P0106X
Legal Business NameLSU HEALTH SCIENCES CENTER LSU FACULTY DENTAL PRACTICE
Location Address1100 FLORIDA AVE, BOX 131New Orleans, LA 70119-2714
Mailing Address1100 Florida Ave, Box 131New Orleans, LA 70119-2714 · (504) 619-8721 · Fax (504) 941-8001
Fax(504) 941-8001
Organization SubpartNo
Authorized OfficialSue H. SpeeglePractice Manager · (504) 941-8119
Enumeration DateMay 2, 2007
Last NPPES UpdateJuly 23, 2014
✔ NPI 1154543288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License✔ Licensed in LA · 5003
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
1100 FLORIDA AVE, New Orleans, LA 70119

Other Identifiers 3

Medicaid1952702LA
Medicare PIN5D024
OtherA8122LA · Blue Cross

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lsu Health Sciences Center Lsu Faculty Dental Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateLouisianaEnrollment IDO20070514000056Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lsu Health Sciences Center Lsu Faculty Dental Practice, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Oral Surgery
NPI 1558494559
1100 FLORIDA AVE
New Orleans, LA 70119
(504) 941-8449
✔ PECOS✔ Accepts Medicare0.1 mi
Oral Surgery
NPI 1992835060
1100 FLORIDA AVE
New Orleans, LA 70119
(504) 619-8721
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lsu Health Sciences Center Lsu Faculty Dental Practice's NPI number?

The NPI number for Lsu Health Sciences Center Lsu Faculty Dental Practice is 1154543288. It was assigned to this organization in the NPPES registry on May 2, 2007.

Where is Lsu Health Sciences Center Lsu Faculty Dental Practice located?

Lsu Health Sciences Center Lsu Faculty Dental Practice is located at 1100 Florida Ave Box 131, New Orleans, LA 70119. The listed phone number is (504) 619-8721.

What is Lsu Health Sciences Center Lsu Faculty Dental Practice's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is Lsu Health Sciences Center Lsu Faculty Dental Practice enrolled in Medicare?

Yes. Lsu Health Sciences Center Lsu Faculty Dental Practice is registered in the Medicare PECOS enrollment system.

When is Lsu Health Sciences Center Lsu Faculty Dental Practice's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Louisiana, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Lsu Health Sciences Center Lsu Faculty Dental Practice?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Oral Surgery, reassign their Medicare billing to Lsu Health Sciences Center Lsu Faculty Dental Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lsu Health Sciences Center Lsu Faculty Dental Practice was last updated on July 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.