Andre Christian Ledoux, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN19058 Issued in FL

Practice address

7231 SW 63Rd Ave
South Miami, FL 33143-4809

Phone

(305) 667-1191

NPI assigned

Aug 11, 2010

Last updated

Aug 3, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral Surgery

Education

Nova Southeastern Univ College of Dental Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jose Montero DDS PAGroup PAC ID 5294072781, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jose Montero DDS PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Miami, FL
  • NPI 1932692035
  Medicare reassignment Care Compare group NPD
• Fred Pedroletti DMD PA

  • Dental Clinic/Center
  • South Miami, FL
  • NPI 1659770592
  NPD
• Oral Surgery & Implant Center

  • Oral and Maxillofacial Surgery Clinic/Center
  • South Miami, FL
  • NPI 1760964977
  NPD

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1407161714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17361 SW 290TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330302588",
            "telephone_number": "904-472-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7231 SW 63RD AVE",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434809",
            "telephone_number": "305-667-1191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 W Hillsboro Blvd",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334421484",
            "country_code": "US",
            "telephone_number": "954-427-4287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDOUX",
        "first_name": "ANDRE",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-11",
        "last_updated": "2021-08-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19058",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN19058",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence M Welkovich MD PA
• Jerry Marshal Layne, M.D., D.D.S.
• Yohana Leal Darias Sr.
• Vanessa Alida Leal-de Rojas, ARNP-BC
• Leavitt Medical Associates of Florida Inc (advanced dermatology and cosmetic surgery)
• Clarice Angelica Lee, MT-BC
• Hayoung Lee
• Rosemary Koehl Lee, ARNP
• Legacy Orthopaedics
• Deborah Lyn Leiter, RPT

• Dentist in South Miami, FL
• Providers in South Miami, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.