Herbert William Labordeaux, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

6830 Issued in KY

Practice address

4516 Cane Run Rd
Louisville, KY 40216-3422

Phone

(502) 448-1003

Fax

(502) 371-8161

NPI assigned

Jan 17, 2007

Last updated

Apr 12, 2018By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Cane Run Smile Center, Inc.

  • General Practice Dentistry
  • Louisville, KY
  • NPI 1871647438
  NPD (past)
• Shawnee Christian Healthcare Center Inc

  • Community/Retail Pharmacy
  • Louisville, KY
  • NPI 1003407719
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1205988524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9916 VIEUX CARRE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233211",
            "telephone_number": "502-741-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 CANE RUN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402163422",
            "telephone_number": "502-448-1003",
            "fax_number": "502-371-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABORDEAUX",
        "first_name": "HERBERT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "6830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006830100",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Labhart
• Laboratory 247
• Laboratory Corporation of America
• Laboratory Corporation of America
• Laboratory Corporation of America
• Conley Kathryn Labrake, OTR/L
• Anthony W Labraney, LCSW, LCADC
• Lac Enterprises, Inc.
• Rachel Lacap
• Cortney Lynn Lacefield

• Dentist in Louisville, KY
• Providers in Louisville, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.