Active NPI
Lionel Ted Ardoin, DDS
- Dentist
- Ville Platte, LA
National Provider Identifier
1003919184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3235
- Practice address
- 1520 East Main Street
Ville Platte, LA 70586 - Phone
- (337) 363-6590
- Fax
- (337) 363-1765
- NPI assigned
- Sep 6, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3235 | LA | Primary |
Addresses
Primary practice location
1520 East Main Street
Ville Platte, LA 70586
Mailing address
1520 East Main Street
Ville Platte, LA 70586
Phone (337) 363-6590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1832359 | Medicaid | LA |
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 |
|---|---|---|---|---|
| I20160328000070 | LA | Order and Referring Only - Oral Surgery | 7113224726 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3235 | LA | MD | Clinical Social Worker |
Networks
- MS PPO C-SNP
- TX HMO D-SNP
- MS PPO D-SNP
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003919184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 EAST MAIN STREET",
"city": "VILLE PLATTE",
"state": "LA",
"postal_code": "70586",
"telephone_number": "337-363-6590",
"fax_number": "337-363-1765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 EAST MAIN STREET",
"city": "VILLE PLATTE",
"state": "LA",
"postal_code": "70586",
"telephone_number": "337-363-6590",
"fax_number": "337-363-1765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARDOIN",
"first_name": "LIONEL",
"middle_name": "TED",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "3235",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1832359",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ville Platte, LA
- Anna Fontenot Medical Center LLC (Dupre Medical Clinic)
- Anna Fontenot Medical Center LLC (Magnolia Therapeutics)
- Denise Watkins Antoine
- Jean Batiste Ardoin, BEHAVIOR TECHNICIAN
- Leeanne Sonnier Ardoin, FNP
- Philip B Ardoin
- Amber Arvie
- Jamie Arvie
- Association for Retarded Citizens of Evangeline, Inc (West Lincoln Road Community Home)
- Association of Retarded Citizens of Evangeline, Inc (West Magnolia Group Home)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.