Kenneth Richard Dubois II, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2809 Issued in LA

Practice address

5760 Hayne Blvd
New Orleans, LA 70126-1252

Phone

(504) 241-8457

Fax

(504) 241-8450

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

State licenses

Practice roles

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.

• K. Richard Dubois, D.D.S.

  • General Practice Dentistry
  • New Orleans, LA
  • NPI 1104243054
  NPD (past) Authorized official
• K. Richard Dubois, D.D.S.

  • General Practice Dentistry
  • Metairie, LA
  • NPI 1750708533
  NPD (past) Authorized official
• Jacqueline R. Faust, DDS, LLC

  • General Practice Dentistry
  • Metairie, LA
  • NPI 1154711802
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1093748972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 20TH ST STE H",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024900",
            "telephone_number": "504-834-1993",
            "fax_number": "504-834-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5760 HAYNE BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701261252",
            "telephone_number": "504-241-8457",
            "fax_number": "504-241-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "KENNETH",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2014-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "2809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lingling Du, M.D.
• Joanna Lorraine Dubinsky, PA-C
• Anne Dubois, DDS
• Gordon A Dubois, DC
• Kenneth R Dubois III, DDS
• Marshall S Dubois
• Rebecca Dubois
• Jason N Dubos, DNP, CRNA
• Cynthia Dubose, RN
• Duboue Dental LLC

• General Practice Dentistry in New Orleans, LA
• Providers in New Orleans, 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 Mar 21, 2014; 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.