Jaclyn Duboue, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5635 Issued in LA

Practice address

7809 Jefferson Hwy Ste E4
Baton Rouge, LA 70809-1200

Phone

(225) 926-0702

NPI assigned

Nov 2, 2006

Sex

Female

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

Locations

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.

• B.R. Dental Specialists LLC

  • Dental Clinic/Center
  • Kenner, LA
  • NPI 1013761121
  Medicare reassignment NPD Authorized official
• Duboue Dental LLC

  • Dental Clinic/Center
  • New Orleans, LA
  • NPI 1336558311
  NPD Authorized official
• La Dental Urgent Care LLC

  • Dentist
  • Baton Rouge, LA
  • NPI 1245494814
  NPD Authorized official

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1154409365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 MARYLAND AVE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "70065",
            "telephone_number": "504-390-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7809 JEFFERSON HWY STE E4",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091200",
            "telephone_number": "225-926-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOUE",
        "first_name": "JACLYN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Drury, FNP
• Dsconsultants & Associates, LLC
• DT Seven Medical Transportation LLC
• DTG II PLLC
• Kristen C Dubois, APRN, FNP
• Jayleen Ducelus
• Nicolas Scott Duchamp, M.D.
• Erich G Duchmann, PHD, MP
• Deborah S Duckworth, LCSW
• Darryl Ducote, L.C.S.W.

• General Practice Dentistry in Baton Rouge, LA
• Providers in Baton Rouge, 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 Dec 4, 2023; 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.