Organization Active NPI

Lafayette Dental Associates Inc

  • General Practice Dentistry
  • Lafayette, LA
National Provider Identifier
1114176799
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5394 Issued in LA
Legal business name
LAFAYETTE DENTAL ASSOCIATES INC
Practice address
2517 W Pinhook Rd
Lafayette, LA 70508-3374
Phone
(337) 235-3761
NPI assigned
Sep 18, 2008
Last updated
Sep 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Authorized official

Name
Dr. Timothy Chauvin, DDS
Title
Owner
Phone
(337) 235-3761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5394 LA Primary

Addresses

Primary practice location

2517 W Pinhook Rd
Lafayette, LA 70508-3374

Mailing address

2517 W Pinhook Rd
Lafayette, LA 70508-3374
Phone (337) 235-3761

National Provider Directory

National Provider Directory

Locations

2517 W Pinhook Rd
Lafayette, LA 70508
Phone (337) 234-2186

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1114176799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 W PINHOOK RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083374",
            "telephone_number": "337-235-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 W PINHOOK RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083374",
            "telephone_number": "337-235-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE DENTAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "CHAUVIN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-235-3761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.