Active NPI
John Leroy Speer, DDS
- General Practice Dentistry
- Lake Charles, LA
National Provider Identifier
1295976652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2878
- Practice address
- 3425 Louisiana Ave.
Lake Charles, LA 70607 - Phone
- (337) 496-6164
- NPI assigned
- Mar 16, 2009
- Last updated
- Mar 16, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2878 | LA | Primary |
Addresses
Primary practice location
3425 Louisiana Ave.
Lake Charles, LA 70607
Mailing address
1924 Southwood Drive
Lake Charles, LA 70605
Phone (337) 496-6164
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 |
|---|---|---|---|
| 2878 | LA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237161600000",
"number": "1295976652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1924 SOUTHWOOD DRIVE",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "70605",
"telephone_number": "337-496-6164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 LOUISIANA AVE.",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "70607",
"telephone_number": "337-496-6164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEER",
"first_name": "JOHN",
"middle_name": "LEROY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-16",
"last_updated": "2009-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "2878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
- Southwest Louisiana Physicians, LLC
- Southwest Louisiana Speech and Language Services, LLC
- Southwest Louisiana Sports and Rehabilitation Center, LLC
- Robert Melvin Sowells
- Sarah Rose Spears, MS, RD, LDN
- Onita L Speight, M.D.
- Greta Susanna Spengler, DPT
- Jason Randall Spooner, PT, DPT, RN
- Samuel Edward Sprehe, M.D.
- Springer Family Medical Clinic LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.