Active NPI
Gerald Louis Chachere Jr., D.D.S.
- General Practice Dentistry
- Opelousas, LA
National Provider Identifier
1225155658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3126
- Practice address
- 1604 Kerr St
Suite 102
Opelousas, LA 70570-7803 - Phone
- (337) 942-8576
- Fax
- (337) 942-8961
- NPI assigned
- Mar 22, 2007
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3126 | LA | Primary |
Addresses
Primary practice location
1604 Kerr St
Suite 102
Opelousas, LA 70570-7803
Mailing address
1604 Kerr St
Suite 102
Opelousas, LA 70570-7803
Phone (337) 942-8576
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831263 | Medicaid | LA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150625001911 | LA | Order and Referring Only - Oral Surgery | 8123339561 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3126 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1225155658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 KERR ST",
"address_2": "SUITE 102",
"city": "OPELOUSAS",
"state": "LA",
"postal_code": "705707803",
"telephone_number": "337-942-8576",
"fax_number": "337-942-8961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 KERR ST",
"address_2": "SUITE 102",
"city": "OPELOUSAS",
"state": "LA",
"postal_code": "705707803",
"telephone_number": "337-942-8576",
"fax_number": "337-942-8961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHACHERE",
"first_name": "GERALD",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "3126",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1831263",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Opelousas, LA
- Sondra Cummings Celestine, NURSE PRACTITIONER
- Centerwell Senior Primary Care (la) PC (CenterWell Senior Primary Care-Opelousas)
- Central Healthcare
- Central Healthcare
- Chachere Provost Medicine, LLC
- Jamie Alyce Chachere
- Katherine Chachere, CRNA
- David Chachkhiani, M.D.
- Jerry M. Chamberlain, PT
- Olivia Ann Chapelle, APRN
Sources for this page
- 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.