Active NPI
Edward J Hebet DDS PC
- General Practice Dentistry
- Lake Charles, LA
National Provider Identifier
1386928778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4023
- Legal business name
- EDWARD J HEBET DDS PC
- Practice address
- 1540 Country Club Rd
Lake Charles, LA 70605-5324 - Phone
- (337) 474-4892
- Fax
- (337) 474-4830
- NPI assigned
- Oct 4, 2011
- 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
- Edward J Hebert, DDS
- Title
- Dentist
- Phone
- (337) 474-4892
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4023 | LA | Primary |
Addresses
Primary practice location
1540 Country Club Rd
Lake Charles, LA 70605-5324
Mailing address
1540 Country Club Rd
Lake Charles, LA 70605-5324
Phone (337) 474-4892
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Lake Charles, LA
- NPI 1982643052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317686400000",
"number": "1386928778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 COUNTRY CLUB RD",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706055324",
"telephone_number": "337-474-4892",
"fax_number": "337-474-4830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 COUNTRY CLUB RD",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706055324",
"telephone_number": "337-474-4892",
"fax_number": "337-474-4830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWARD J HEBET DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-04",
"last_updated": "2011-10-04",
"status": "A",
"authorized_official_last_name": "HEBERT",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "337-474-4892",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "4023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.