Individual provider Active NPI

Douglas Rodrigue Jr., D.D.S.

  • General Practice Dentistry
  • New Orleans, LA
National Provider Identifier
1316315401
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6603 Issued in LA
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
6603LAMDProfessional 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.

Verify at the official NPI Registry.