Active NPI
Michael Hebert, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lake Charles, LA
National Provider Identifier
1164765863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 2289
- Practice address
- 1616 W McNeese St
Lake Charles, LA 70605-4244 - Phone
- (337) 478-3232
- Fax
- (337) 478-3206
- NPI assigned
- Apr 1, 2013
- Sex
- Male
- 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 | 2289 | LA | Primary |
Addresses
Primary practice location
1616 W McNeese St
Lake Charles, LA 70605-4244
Mailing address
1616 W McNeese St
Lake Charles, LA 70605-4244
Phone (337) 478-3232
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 |
|---|---|---|---|
| 2289 | LA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364774400000",
"number": "1164765863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 W MCNEESE ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706054244",
"telephone_number": "337-478-3232",
"fax_number": "337-478-3206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 W MCNEESE ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706054244",
"telephone_number": "337-478-3232",
"fax_number": "337-478-3206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEBERT",
"first_name": "MICHAEL",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-01",
"last_updated": "2013-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "LA",
"license": "2289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.