Active NPI
Cypress Bend Oral & Maxillofacial Surgery
- Oral and Maxillofacial Surgery (Dentist)
- Lafayette, LA
National Provider Identifier
1346868676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- CYPRESS BEND ORAL & MAXILLOFACIAL SURGERY
- Practice address
- 106 Rue Bastille
Lafayette, LA 70508 - Phone
- (337) 352-2363
- NPI assigned
- Jul 13, 2020
- Last updated
- Jul 13, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Justin Stanford, DDS
- Title
- Owner
- Phone
- (337) 352-2363
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | NU | Primary |
Addresses
Primary practice location
106 Rue Bastille
Lafayette, LA 70508
Mailing address
106 Rue Bastille
Lafayette, LA 70508
National Provider Directory
National Provider DirectoryLocations
106 Rue Bastille
Lafayette, LA 70508
Phone (337) 352-2363
116 E Texas Ave
Rayne, LA 70578
Phone (337) 334-3581
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Oral and Maxillofacial Surgery (Dentist)
- Gainesville, FL
- NPI 1710324066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594598400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594598400000",
"number": "1346868676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 RUE BASTILLE",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "70508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 RUE BASTILLE",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "70508",
"telephone_number": "337-352-2363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CYPRESS BEND ORAL & MAXILLOFACIAL SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-13",
"last_updated": "2020-07-13",
"certification_date": "2020-07-13",
"status": "A",
"authorized_official_last_name": "STANFORD",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "337-352-2363",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.