Active NPI
Andre J Lheureux, DDS
- Dentist
- Old Saybrook, CT
National Provider Identifier
1275545899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4707
- Practice address
- 1160 Boston Post Rd
Old Saybrook, CT 06475 - Phone
- (860) 388-3591
- Fax
- (860) 388-5338
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4707 | CT | Primary |
| General Practice Dentistry | 1223G0001X | 4707 | CT |
Addresses
Primary practice location
1160 Boston Post Rd
Old Saybrook, CT 06475
Mailing address
1160 Boston Post Rd
Old Saybrook, CT 06475
Phone (860) 388-3591
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002047074 | Medicaid | CT |
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 |
|---|---|---|---|
| 4707 | CT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379548800000",
"number": "1275545899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 BOSTON POST RD",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "06475",
"telephone_number": "860-388-3591",
"fax_number": "860-388-5338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 BOSTON POST RD",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "06475",
"telephone_number": "860-388-3591",
"fax_number": "860-388-5338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LHEUREUX",
"first_name": "ANDRE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2013-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "4707",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "4707",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002047074",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Old Saybrook, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.