Jacqueline R. Faust, DDS, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5964 Issued in LA

Legal business name

JACQUELINE R. FAUST, DDS, LLC

Practice address

3008 20TH St Ste H
Metairie, LA 70002-4900

Phone

(504) 834-1993

Fax

(504) 834-1620

NPI assigned

Feb 3, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline R Faust, D.D.S.NPI 1184851503

Title

Owner

Phone

(504) 834-1993

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Ruth Faust, D.D.S.

  • General Practice Dentistry
  • Metairie, LA
  • NPI 1184851503
  NPD (past) Authorized official
• Kenneth Richard Dubois II, DDS

  • General Practice Dentistry
  • New Orleans, LA
  • NPI 1093748972
  NPD (past)

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1154711802",
    "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": "3008 20TH ST STE H",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024900",
            "telephone_number": "504-834-1993",
            "fax_number": "504-834-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE R. FAUST, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "FAUST",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-834-1993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Gonsoulin Jacob, M.D.
• Rudolph Daniel Jacob, M.D.
• Ryan Andre Jacob, M.D.
• Jeanne Mireille Jacobi-Marino, LOTR
• Benjamin F. Jacobs III, MD
• Jacquelyn a Walther, LPC, NCC
• Ashwin Pannathpur Jaikishen, M.D.
• Jakes' Transportation LLC
• Sharronda Jamerson
• James M. McCullough

• General Practice Dentistry in Metairie, LA
• Providers in Metairie, 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 Feb 3, 2015; 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.