NPIMap

Organization Active NPI

Brett D Madere DDS Apc

  • Dentist
  • Reserve, LA
National Provider Identifier
1235264367
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
LA 4435 Issued in LA
Legal business name
BRETT D MADERE DDS APC
Practice address
190 Central Avenue Reserve la
Reserve, LA 70084
Phone
(985) 536-3193
NPI assigned
Feb 22, 2007
Last updated
May 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Dr. Brett D Madere, DDSNPI 1801233242
Title
General Dentist
Phone
(985) 536-3193

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X LA 4435 LA Primary

Addresses

Primary practice location

190 Central Avenue Reserve la
Reserve, LA 70084

Mailing address

190 Central Avenue Reserve la
PO Drawer O Reserve la
Reserve, LA 70084
Phone (985) 536-3193

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1235264367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 CENTRAL AVENUE RESERVE LA",
            "address_2": "PO DRAWER O RESERVE LA",
            "city": "RESERVE",
            "state": "LA",
            "postal_code": "70084",
            "telephone_number": "985-536-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 CENTRAL AVENUE RESERVE LA",
            "city": "RESERVE",
            "state": "LA",
            "postal_code": "70084",
            "telephone_number": "985-536-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETT D MADERE DDS APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "MADERE",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "985-536-3193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "LA 4435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reserve, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.