Active NPI
Jennifer L Banquer, DDS
- General Practice Dentistry
- Harvey, LA
National Provider Identifier
1245364413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5463
- Practice address
- 1708 Manhattan Blvd Ste C
Harvey, LA 70058-3400 - Phone
- (504) 361-5333
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 5463 | LA | Primary |
Addresses
Primary practice location
1708 Manhattan Blvd Ste C
Harvey, LA 70058-3400
Mailing address
1708 Manhattan Blvd Ste C
Harvey, LA 70058-3400
Phone (504) 361-5333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5463 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nola Dental Care | General Practice | Past | Accepting new patients |
| Manhattan Boulevard Dental Associates, a Professional Corporation | General Practice | Past | Accepting new patients |
| Richard M. Rathke Jr. LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563753600000",
"number": "1245364413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708 MANHATTAN BLVD STE C",
"city": "HARVEY",
"state": "LA",
"postal_code": "700583400",
"telephone_number": "504-361-5333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 MANHATTAN BLVD STE C",
"city": "HARVEY",
"state": "LA",
"postal_code": "700583400",
"telephone_number": "504-361-5333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANQUER",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2019-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "5463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harvey, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.