Keith Joseph Fabre Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5874 Issued in LA

Practice address

2665 Barataria Blvd
Marrero, LA 70072

Phone

(504) 348-4232

Fax

(504) 348-8094

NPI assigned

Apr 30, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Networks

• LA PPO C-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fabre Family Dental Care of Marrero

  • General Practice Dentistry
  • Marrero, LA
  • NPI 1457846461
  NPD (past) Authorized official
• Fabre Family Dental Care of Metairie, L.L.C

  • General Practice Dentistry
  • Marrero, LA
  • NPI 1538646997
  NPD (past) Authorized official

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1043454341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5958",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700096110",
            "telephone_number": "504-455-5864",
            "fax_number": "504-455-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 BARATARIA BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "70072",
            "telephone_number": "504-348-4232",
            "fax_number": "504-348-8094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3133 Edenborn Ave.",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700026405",
            "country_code": "US",
            "telephone_number": "504-455-5864",
            "fax_number": "504-455-5867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FABRE",
        "first_name": "KEITH",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-30",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "5874",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Tilden Everson, MD
• Exceptional Dental of G
• Exceptional Dental of Marrero
• Fabre Family Dental Care of Marrero
• Fabre Family Dental Care of Metairie, L.L.C
• Erin Fairchild
• Andrea Lynn Falgout-Cheramie
• Lindsay York Fantaci, MD
• Dua Farhoud, DDS
• Kenneth Barton Farris, MD

• General Practice Dentistry in Marrero, LA
• Providers in Marrero, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.

Verify at the official NPI Registry.