NPIMap

Organization Active NPI

Juan C. Melguizo, DDS

  • General Practice Dentistry
  • Gretna, LA
National Provider Identifier
1295127397
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
LA3179 Issued in LA
Legal business name
JUAN C. MELGUIZO, DDS
Practice address
151 Meadowcrest St
Suite B
Gretna, LA 70056-5256
Phone
(504) 394-4990
Fax
(504) 394-4903
NPI assigned
Feb 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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

Authorized official

Name
Dr. Juan C. Melguizo, DDSNPI 1588714414
Title
Dentist
Phone
(504) 394-4990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X LA3179 LA Primary

Addresses

Primary practice location

151 Meadowcrest St
Suite B
Gretna, LA 70056-5256

Mailing address

151 Meadowcrest St
Suite B
Gretna, LA 70056-5256
Phone (504) 394-4990

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1295127397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 MEADOWCREST ST",
            "address_2": "SUITE B",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700565256",
            "telephone_number": "504-394-4990",
            "fax_number": "504-394-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 MEADOWCREST ST",
            "address_2": "SUITE B",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700565256",
            "telephone_number": "504-394-4990",
            "fax_number": "504-394-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN C. MELGUIZO, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "MELGUIZO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "504-394-4990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "LA3179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.