Active NPI
Claude S Pratt, DDS
- Dentist
- Bastrop, LA
National Provider Identifier
1184636839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2375
- Practice address
- 422 Durham St
Bastrop, LA 71220-5067 - Phone
- (318) 281-2188
- NPI assigned
- Aug 12, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2375 | LA | Primary |
Addresses
Primary practice location
422 Durham St
Bastrop, LA 71220-5067
Mailing address
422 Durham St
8517 Old Monroe Road
Bastrop, LA 71220-5067
Phone (318) 281-2188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1823759 | Medicaid | LA |
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 |
|---|---|---|---|
| 2375 | LA | MD | Dentist |
Interoperability endpoints
- cpratt@yourcarecommunity.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184636839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "422 DURHAM ST",
"address_2": "8517 OLD MONROE ROAD",
"city": "BASTROP",
"state": "LA",
"postal_code": "712205067",
"telephone_number": "318-281-2188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 DURHAM ST",
"city": "BASTROP",
"state": "LA",
"postal_code": "712205067",
"telephone_number": "318-281-2188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATT",
"first_name": "CLAUDE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "2375",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1823759",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bastrop, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.