Individual provider Active NPI

Goddy E Orgor

  • Home Modifications Contractor
  • Alexandria, LA
National Provider Identifier
1285959031
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
License
554000 Issued in LA
Practice address
3032 Jackson St
Alexandria, LA 71301-4743
Phone
(713) 446-6221
Fax
(713) 893-6018
NPI assigned
Apr 5, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications Contractor 171WH0202X 554000 LA Primary

Addresses

Primary practice location

3032 Jackson St
Alexandria, LA 71301-4743

Mailing address

3032 Jackson St
Alexandria, LA 71301-4743
Phone (713) 446-6221

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

LicenseStateTypeSpecialty
554000LAMDHome Modifications Contractor

NPI Registry JSON

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1285959031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3032 JACKSON ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713014743",
            "telephone_number": "713-446-6221",
            "fax_number": "713-893-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3032 JACKSON ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713014743",
            "telephone_number": "713-446-6221",
            "fax_number": "713-893-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORGOR",
        "first_name": "GODDY",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "LA",
            "license": "554000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.