Individual provider Active NPI

Richard Fred Douciere

  • General Practice Dentistry
  • Delhi, LA
National Provider Identifier
1235302613
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3945 Issued in LA
Practice address
516 Main St
Delhi, LA 71232-2538
Phone
(318) 878-2405
Fax
(318) 878-8968
NPI assigned
Apr 8, 2008
Last updated
Apr 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3945 LA Primary

Addresses

Primary practice location

516 Main St
Delhi, LA 71232-2538

Mailing address

516 Main St
Delhi, LA 71232-2538
Phone (318) 878-2405

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151203001535 LA Order and Referring Only - DentistPractitioner - Dentist 4284934837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Delhi Dental Clinic General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1235302613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 MAIN ST",
            "city": "DELHI",
            "state": "LA",
            "postal_code": "712322538",
            "telephone_number": "318-878-2405",
            "fax_number": "318-878-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 MAIN ST",
            "city": "DELHI",
            "state": "LA",
            "postal_code": "712322538",
            "telephone_number": "318-878-2405",
            "fax_number": "318-878-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUCIERE",
        "first_name": "RICHARD",
        "middle_name": "FRED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "3945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delhi, LA

Sources for this page

Verify at the official NPI Registry.