Active NPI
Brent Michael Chauvin, D.D.S
- Endodontics
- Lafayette, LA
National Provider Identifier
1407939226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 5236
- Practice address
- 221 Rue de Jean
Suite 214
Lafayette, LA 70508-8501 - Phone
- (337) 769-0999
- Fax
- (337) 769-1629
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 5236 | LA | Primary |
Addresses
Primary practice location
221 Rue de Jean
Suite 214
Lafayette, LA 70508-8501
Mailing address
134 Onyx St
Lafayette, LA 70506-5753
Phone (337) 981-1341
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5236 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407939226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 ONYX ST",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705065753",
"telephone_number": "337-981-1341",
"fax_number": "337-769-1629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 RUE DE JEAN",
"address_2": "SUITE 214",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705088501",
"telephone_number": "337-769-0999",
"fax_number": "337-769-1629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAUVIN",
"first_name": "BRENT",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "LA",
"license": "5236",
"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 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.