NPIMap

Organization Active NPI

Justin E Tarver DDS Apdc

  • General Practice Dentistry
  • Monroe, LA
National Provider Identifier
1053939629
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JUSTIN E TARVER DDS APDC
Practice address
92 Lincoln Rd
Monroe, LA 71203-4262
Phone
(318) 343-6006
NPI assigned
Jul 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Authorized official

Name
Dr. Justin E Tarver, DDSNPI 1073770665
Title
Owner
Phone
(318) 343-6006

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

92 Lincoln Rd
Monroe, LA 71203-4262

Mailing address

92 Lincoln Rd
Monroe, LA 71203-4262
Phone (318) 343-6006

Other identifiers 1

IdentifierTypeStateIssuer
1858781MedicaidLA

Other names 1

  • Tarver family Dental Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL email Direct

National Provider Directory

National Provider Directory

Locations

92 Lincoln Rd
Monroe, LA 71203
Phone (318) 343-6006

Practitioners & affiliated clinicians

Practitioners 1

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": "1594339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1053939629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 LINCOLN RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712034262",
            "telephone_number": "318-343-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 LINCOLN RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712034262",
            "telephone_number": "318-343-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN E TARVER DDS APDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "TARVER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-343-6006",
        "authorized_official_name_prefix": "Dr.",
        "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": "1858781",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "email",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "92 Lincoln Rd",
            "city": "Monroe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712034262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Tarver family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.