Active NPI
Moon Orthopedics
- Prosthetic/Orthotic Supplier
- Gretna, LA
National Provider Identifier
1023299328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1974323 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
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.