NPIMap

Individual provider Active NPI

Dane Christopher Ponthier, PA-C

  • Medical Physician Assistant
  • Pineville, LA
National Provider Identifier
1285614008
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.A10591 Issued in LA
Practice address
3221 Military Hwy
Pineville, LA 71360-4226
Phone
(318) 787-0610
Fax
(318) 787-6613
NPI assigned
Jan 18, 2006
Last updated
Jun 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA.A10591 LA Primary

Addresses

Primary practice location

3221 Military Hwy
Pineville, LA 71360-4226

Mailing address

1045 Chris Crossing
Woodworth, LA 71485
Phone (318) 442-3101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610000851 LA Practitioner - Physician Assistant 5092798066 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DM Properties of Lafayette, LLCGroup PAC ID 8527292986, 16 clinicians

Practice addresses (Care Compare)

2705 Hwy 28 E
Pineville, LA 71360-5712
Phone (318) 704-6770

3601 Jackson St Ext
Alexandria, LA 71303-3002

3601 Jackson St Extension
Alexandria, LA 71303-3002
Phone (318) 787-6877

3662 W Oak St
Jena, LA 71342-4474
Phone (318) 495-2273

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.A10591LAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DM Properties of Lafayette, LLC CurrentSince Jun 17, 2015 Accepting new patients
St Tammany Emergency Physicians Group LLC CurrentSince Feb 1, 2026 Accepting new patients
Woodworth Family Medicine Inc. PastSince Jan 29, 2007 Accepting new patients

Locations

3601 Jackson Street Ext
Alexandria, LA 71303
Phone (318) 787-6877

Organizations & group practices 6

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.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1285614008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 CHRIS CROSSING",
            "city": "WOODWORTH",
            "state": "LA",
            "postal_code": "71485",
            "telephone_number": "318-442-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 MILITARY HWY",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713604226",
            "telephone_number": "318-787-0610",
            "fax_number": "318-787-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTHIER",
        "first_name": "DANE",
        "middle_name": "CHRISTOPHER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "PA.A10591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, LA

Sources for this page

Verify at the official NPI Registry.