NPIMap

Organization Active NPI

Audubon Urgent Dental

  • General Practice Dentistry
  • Saint Francisville, LA
National Provider Identifier
1174148779
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AUDUBON URGENT DENTAL
Practice address
7181 U.S. Hwy 61
Suite 10
Saint Francisville, LA 70775
Phone
(225) 721-3477
NPI assigned
Jun 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Authorized official

Name
Dr. Charles Couvillon, DDS.NPI 1306039581
Title
Doctor/Director
Phone
(225) 721-3477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

7181 U.S. Hwy 61
Suite 10
Saint Francisville, LA 70775

Mailing address

PO Box 1279
Saint Francisville, LA 70775-1279

National Provider Directory

National Provider Directory

Locations

5237 Commerce St
Ste A
Saint Francisville, LA 70775

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1174148779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1279",
            "city": "SAINT FRANCISVILLE",
            "state": "LA",
            "postal_code": "707751279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7181 U.S. HWY 61",
            "address_2": "SUITE 10",
            "city": "SAINT FRANCISVILLE",
            "state": "LA",
            "postal_code": "70775",
            "telephone_number": "225-721-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDUBON URGENT DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "COUVILLON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "DOCTOR/DIRECTOR",
        "authorized_official_telephone_number": "225-721-3477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Francisville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.