Charles James Waguespack, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6170 Issued in LA

Practice address

109 Johnny Dufrene Dr
Raceland, LA 70394-2611

Phone

(985) 532-5303

NPI assigned

Jun 2, 2011

Last updated

Jun 2, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• La Vie Dental LLC

  • General Practice Dentistry
  • Raceland, LA
  • NPI 1518714211
  NPD Authorized official

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1164716569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX E",
            "city": "MATHEWS",
            "state": "LA",
            "postal_code": "703750429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 JOHNNY DUFRENE DR",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703942611",
            "telephone_number": "985-532-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGUESPACK",
        "first_name": "CHARLES",
        "middle_name": "JAMES",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-02",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• US Radiology Partners of Louisiana, Inc.
• Valentina Verdin, PLPC
• Vision Seekers, LLC
• Vision Seekers, LLC
• Vision Seekers, LLC
• Lamar E Waguespack II, DDS
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0761)
• Kelsey Morris Williams, NP-C
• Cheryl Marie Wilson, R.N.
• Paula M Wilt, MD

• General Practice Dentistry in Raceland, LA
• Providers in Raceland, 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 Jun 2, 2011; 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.