Miranda Lobell Walters, DDS
Dentist, General Practice in Metairie, LA. Individual provider (NPI-1).
NPI number1144908005
StatusActive
Last updated in NPPESMay 30, 2025
Details
- NPI
- 1144908005
- Entity type
- Individual (NPI-1)
- Name
- Miranda Lobell Walters
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2023
- Certification date
- May 30, 2025
- Last updated
- May 30, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 3471556 | ID | Yes |
| 1223G0001X | Dentist, General Practice | 7453 | LA |
Practice location
900 N Causeway BlvdMetairie, LA 70001-5348
Phone 504-835-8741
Mailing address
3936 Civic StMetairie, LA 70001-4910
Phone 985-507-2379
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 150 General Practice Dentistry providers in Metairie · All 7,185 providers in Metairie
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