NPIMap

Organization Active NPI

Berthelot and Associates, LLC

  • Dental Clinic/Center
  • Addis, LA
National Provider Identifier
1063703122
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6031 Issued in LA
Legal business name
BERTHELOT AND ASSOCIATES, LLC
Practice address
6711 Highway 1 South
Addis, LA 70710
Phone
(225) 364-3640
Fax
(225) 364-3643
NPI assigned
Apr 25, 2011
Last updated
Apr 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Authorized official

Name
Dr. Clare M Berthelot, D.D.S.
Title
Owner/President
Phone
(225) 364-3640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 6031 LA Primary

Addresses

Primary practice location

6711 Highway 1 South
Addis, LA 70710

Mailing address

6711 Highway 1 South
Addis, LA 70710
Phone (225) 364-3640

National Provider Directory

National Provider Directory

Locations

6711 LA Highway 1 S
Addis, LA 70710
Phone (225) 364-3640

NPI Registry JSON

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1063703122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 HIGHWAY 1 SOUTH",
            "city": "ADDIS",
            "state": "LA",
            "postal_code": "70710",
            "telephone_number": "225-364-3640",
            "fax_number": "225-364-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 HIGHWAY 1 SOUTH",
            "city": "ADDIS",
            "state": "LA",
            "postal_code": "70710",
            "telephone_number": "225-364-3640",
            "fax_number": "225-364-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERTHELOT AND ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-25",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "BERTHELOT",
        "authorized_official_first_name": "CLARE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "225-364-3640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "LA",
            "license": "6031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addis, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.