Active NPI
Douglas Rodrigue Jr., D.D.S.
- General Practice Dentistry
- New Orleans, LA
National Provider Identifier
1316315401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6603
- Practice address
- 418 Girod St
New Orleans, LA 70130-3626 - Phone
- (504) 325-5777
- Fax
- (504) 827-1390
- NPI assigned
- Sep 8, 2015
- Last updated
- Jan 13, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 6603 | LA | |
| General Practice Dentistry | 1223G0001X | 6603 | LA | Primary |
Addresses
Primary practice location
418 Girod St
New Orleans, LA 70130-3626
Mailing address
1137 Esplanade Ave
Apt 403
New Orleans, LA 70116-2084
Phone (504) 919-5904
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 |
|---|---|---|---|
| 6603 | LA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1316315401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1137 ESPLANADE AVE",
"address_2": "APT 403",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701162084",
"telephone_number": "504-919-5904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 GIROD ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701303626",
"telephone_number": "504-325-5777",
"fax_number": "504-827-1390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUE",
"first_name": "DOUGLAS",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-08",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "LA",
"license": "6603",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "6603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.