Active NPI
Louisiana Orthodontic Specialists
- Orthodontics and Dentofacial Orthopedics Dentistry
- Houma, LA
National Provider Identifier
1386793594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- OC-11961
- Legal business name
- LOUISIANA ORTHODONTIC SPECIALISTS
- Practice address
- 1301 W Tunnel Blvd
Ste. B
Houma, LA 70360-2600 - Phone
- (985) 853-8510
- Fax
- (985) 853-8582
- NPI assigned
- Jan 9, 2007
- Last updated
- Aug 22, 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
- Dr. E E Jeansonne Jr., DDS
- Title
- Orthodontist
- Phone
- (985) 853-8510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | OC-11961 | LA | Primary |
Addresses
Primary practice location
1301 W Tunnel Blvd
Ste. B
Houma, LA 70360-2600
Mailing address
1301 W Tunnel Blvd
Ste. B
Houma, LA 70360-2600
Phone (985) 853-8510
National Provider Directory
National Provider Directory- Tax ID family
- Dr Edmund Jeansonne Jr DDS
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Luling, LA
- NPI 1942402755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1386793594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 W TUNNEL BLVD",
"address_2": "STE. B",
"city": "HOUMA",
"state": "LA",
"postal_code": "703602600",
"telephone_number": "985-853-8510",
"fax_number": "985-853-8582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 W TUNNEL BLVD",
"address_2": "STE. B",
"city": "HOUMA",
"state": "LA",
"postal_code": "703602600",
"telephone_number": "985-853-8510",
"fax_number": "985-853-8582"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOUISIANA ORTHODONTIC SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JEANSONNE",
"authorized_official_first_name": "E",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "ORTHODONTIST",
"authorized_official_telephone_number": "985-853-8510",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "LA",
"license": "OC-11961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houma, LA
- Louisiana CVS Pharmacy, L.L.C. (CVS Pharmacy #05338)
- Louisiana Em-I Medical Services, a Medical Corporation
- Louisiana Home Healthcare Partners, LLC (Delta Home Health South)
- Louisiana Home Visits MD L.L.C.
- Louisiana Medshield LLC
- Amanda Graham Lucas, NP
- Kellie Lyn Lucas, MD
- Natoya Lucas
- Jamie M Luke, LDN RD
- Jennifer Luke
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.