Individual provider Active NPI

Lucius Jos Doucet II, DDS

  • Dentist
  • Opelousas, LA
National Provider Identifier
1366595233
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1831 Issued in LA
Practice address
1110 Dr a C Terrence Blvd
Suite 3
Opelousas, LA 70570-6403
Phone
(337) 942-4425
Fax
(337) 942-4466
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1831 LA Primary

Addresses

Primary practice location

1110 Dr a C Terrence Blvd
Suite 3
Opelousas, LA 70570-6403

Mailing address

1110 Dr a C Terrence Blvd
Suite 3
Opelousas, LA 70570-6403
Phone (337) 942-4425

Other identifiers 3

IdentifierTypeStateIssuer
F3748OtherLABLUE CROSS
1818313MedicaidLA
1831OtherLADELTA DENTAL

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366595233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 DR A C TERRENCE BLVD",
            "address_2": "SUITE 3",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706403",
            "telephone_number": "337-942-4425",
            "fax_number": "337-942-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 DR A C TERRENCE BLVD",
            "address_2": "SUITE 3",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706403",
            "telephone_number": "337-942-4425",
            "fax_number": "337-942-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUCET",
        "first_name": "LUCIUS",
        "middle_name": "JOS",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "1831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "F3748",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1818313",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "1831",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, 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.

Verify at the official NPI Registry.