Organization Active NPI

Dustin Joubert DDS Inc

  • General Practice Dentistry
  • Jennings, LA
National Provider Identifier
1013374644
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DUSTIN JOUBERT DDS INC
Practice address
806 N Main St
Jennings, LA 70546-4728
Phone
(337) 824-2422
Fax
(337) 824-0047
NPI assigned
Jan 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dustin Joubert, DDSNPI 1417368879
Title
Owner/Owner
Phone
(337) 824-2422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

806 N Main St
Jennings, LA 70546-4728

Mailing address

806 N. Main St
Jennings, LA 70546
Phone (337) 824-2422

Other identifiers 1

IdentifierTypeStateIssuer
1834394MedicaidLA

Other names 1

  • Joubert Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

806 N Main St
Jennings, LA 70546
Phone (337) 824-2422

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1013374644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 N. MAIN ST",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "70546",
            "telephone_number": "337-824-2422",
            "fax_number": "337-824-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 N MAIN ST",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705464728",
            "telephone_number": "337-824-2422",
            "fax_number": "337-824-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUSTIN JOUBERT DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "JOUBERT",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "OWNER/OWNER",
        "authorized_official_telephone_number": "337-824-2422",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1834394",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joubert Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jennings, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.