Active NPI
Robert L Rebert Jr., DDS
- Dentist
- Metairie, LA
National Provider Identifier
1346451663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3021
- Practice address
- 5037 Veterans Memorial Blvd
Suite 3D
Metairie, LA 70006-5136 - Phone
- (504) 885-7510
- NPI assigned
- May 25, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 3021 | LA | Primary |
Addresses
Primary practice location
5037 Veterans Memorial Blvd
Suite 3D
Metairie, LA 70006-5136
Mailing address
5037 Veterans Memorial Blvd
Suite 3D
Metairie, LA 70006-5136
Phone (504) 885-7510
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3021 | LA | MD | Addiction (Substance Use Disorder) Counselor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346451663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5037 VETERANS MEMORIAL BLVD",
"address_2": "SUITE 3D",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700065136",
"telephone_number": "504-885-7510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5037 VETERANS MEMORIAL BLVD",
"address_2": "SUITE 3D",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700065136",
"telephone_number": "504-885-7510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REBERT",
"first_name": "ROBERT",
"middle_name": "L",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "3021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.