NPIMap

Organization Active NPI

Outreach Dentistry

  • Dentist
  • Lafayette, LA
National Provider Identifier
1205006780
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
OUTREACH DENTISTRY
Practice address
510 Guilbeau Rd Ste C
Lafayette, LA 70506-8415
Phone
(337) 993-0977
Fax
(337) 993-0978
NPI assigned
Mar 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Dr. Gregory J Folse, DDS
Title
President/Owner
Phone
(337) 993-0977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

510 Guilbeau Rd Ste C
Lafayette, LA 70506-8415

Mailing address

510 Guilbeau Rd Ste C
Lafayette, LA 70506-8415
Phone (337) 993-0977

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1205006780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 GUILBEAU RD STE C",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705068415",
            "telephone_number": "337-993-0977",
            "fax_number": "337-993-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 GUILBEAU RD STE C",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705068415",
            "telephone_number": "337-993-0977",
            "fax_number": "337-993-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "FOLSE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "337-993-0977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.