Active NPI
Jason Ward Varnado, DDS
- Dentist
- New Iberia, LA
National Provider Identifier
1124172333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5216
- Practice address
- 408 Jefferson Terrace Boulevard
New Iberia, LA 70560 - Phone
- (337) 359-9002
- Fax
- (337) 359-9033
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5216 | LA | Primary |
Addresses
Primary practice location
408 Jefferson Terrace Boulevard
New Iberia, LA 70560
Mailing address
408 Jefferson Terrace Boulevard
New Iberia, LA 70560
Phone (337) 359-9002
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150617002329 | LA | Order and Referring Only - Dentist | 9032420054 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Networks
- LA PPO C-SNP
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124172333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 JEFFERSON TERRACE BOULEVARD",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "70560",
"telephone_number": "337-359-9002",
"fax_number": "337-359-9033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 JEFFERSON TERRACE BOULEVARD",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "70560",
"telephone_number": "337-359-9002",
"fax_number": "337-359-9033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARNADO",
"first_name": "JASON",
"middle_name": "WARD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "5216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Iberia, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.