Individual provider Active NPI

Jennifer R L'Heureux, DMD

  • General Practice Dentistry
  • Saratoga Springs, NY
National Provider Identifier
1245594191
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
058453 Issued in NY
Practice address
24 Hamilton St
Saratoga Springs, NY 12866-4226
Phone
(518) 886-5602
Fax
(518) 871-1364
NPI assigned
Jun 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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 058453 NY Primary

Addresses

Primary practice location

24 Hamilton St
Saratoga Springs, NY 12866-4226

Mailing address

24 Hamilton St
Saratoga Springs, NY 12866-4226
Phone (518) 886-5602

Other practice location 1

165 Miller St
Meriden, CT 06450-4256
Phone (203) 639-3500

Other identifiers 1

IdentifierTypeStateIssuer
0388951MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160916001710 NY Practitioner - Oral Surgery 4587951694 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital CurrentSince Jul 1, 2016 Accepting new patients
Saratoga Hospital CurrentSince Jul 1, 2016 Accepting new patients

Locations

24 Hamilton St
Saratoga Springs, NY 12866
Phone (518) 886-5600

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1245594191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HAMILTON ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128664226",
            "telephone_number": "518-886-5602",
            "fax_number": "518-871-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HAMILTON ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128664226",
            "telephone_number": "518-886-5602",
            "fax_number": "518-871-1364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 Miller St",
            "address_purpose": "LOCATION",
            "city": "Meriden",
            "state": "CT",
            "postal_code": "064504256",
            "country_code": "US",
            "telephone_number": "203-639-3500",
            "fax_number": "203-639-3509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "L'HEUREUX",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "058453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0388951",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.