Active NPI
Danielle Ardoin Dore, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lafayette, LA
National Provider Identifier
1154438109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 4952
- Practice address
- 1144 Coolidge Blvd
Suite F
Lafayette, LA 70503-2622 - Phone
- (337) 267-7645
- Fax
- (337) 234-2881
- NPI assigned
- Aug 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 4952 | LA | Primary |
Addresses
Primary practice location
1144 Coolidge Blvd
Suite F
Lafayette, LA 70503-2622
Mailing address
1144 Coolidge Blvd
Suite F
Lafayette, LA 70503-2622
Phone (337) 267-7645
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4952 | LA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228089600000",
"number": "1154438109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1144 COOLIDGE BLVD",
"address_2": "SUITE F",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032622",
"telephone_number": "337-267-7645",
"fax_number": "337-234-2881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1144 COOLIDGE BLVD",
"address_2": "SUITE F",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032622",
"telephone_number": "337-267-7645",
"fax_number": "337-234-2881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORE",
"first_name": "DANIELLE",
"middle_name": "ARDOIN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2008-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "LA",
"license": "4952",
"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 Dec 1, 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.