Organization Active NPI

Moon Orthopedics

  • Prosthetic/Orthotic Supplier
  • Gretna, LA
National Provider Identifier
1023299328
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MOON ORTHOPEDICS
Practice address
139 Bellemeade Blvd
Gretna, LA 70056-7108
Phone
(504) 391-9141
Fax
(504) 391-0124
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Authorized official

Name
Mrs. Judy P Richoux
Title
Office Manager
Phone
(504) 391-9141

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X LA
Prosthetic/Orthotic Supplier 335E00000X LA Primary

Addresses

Primary practice location

139 Bellemeade Blvd
Gretna, LA 70056-7108

Mailing address

139 Bellemeade Blvd
Gretna, LA 70056-7108
Phone (504) 391-9141

Other identifiers 1

IdentifierTypeStateIssuer
1974323MedicaidLA

National Provider Directory

National Provider Directory

Locations

139 Bellemeade Blvd
Gretna, LA 70056
Phone (504) 391-9141

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1023299328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 BELLEMEADE BLVD",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567108",
            "telephone_number": "504-391-9141",
            "fax_number": "504-391-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 BELLEMEADE BLVD",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567108",
            "telephone_number": "504-391-9141",
            "fax_number": "504-391-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON ORTHOPEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "RICHOUX",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "504-391-9141",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1974323",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.