Charles James Ardoin II, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4041 Issued in LA

Practice address

4985 Highway 27 S
Sulphur, LA 70665-7571

Phone

(337) 583-2756

Fax

(337) 583-9031

NPI assigned

Oct 12, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Charles J Ardoin II, DDS, LLC

  • Dental Clinic/Center
  • Sulphur, LA
  • NPI 1982060661
  NPD (past)
• Lake Area Dentistry-Carlyss

  • Dental Clinic/Center
  • Sulphur, LA
  • NPI 1043706252
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1174612998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4985 HIGHWAY 27 S",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706657571",
            "telephone_number": "337-583-2756",
            "fax_number": "337-583-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4985 HIGHWAY 27 S",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706657571",
            "telephone_number": "337-583-2756",
            "fax_number": "337-583-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDOIN",
        "first_name": "CHARLES",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "4041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1840416",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alvin Guidry Trust (Paragon Drug Store)
• Amy Sarah Thompson Soileau MD LLC (Fleur de Lis Family Medicine)
• Joe Alan Andrepont
• Andrew T Davies MD LLC (Davies Family Medicine)
• Chance Michael Arceneaux, APRN FNP-C
• Samantha Armentor, M.S. L-SLP CCC-SLP
• Sandra C Armer, LCSW, CT, BCD, BCETS
• Tiffany Hope Arrant
• Julie D Babineaux
• Allison Paige Baggett, FNP

• General Practice Dentistry in Sulphur, LA
• Providers in Sulphur, 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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.