Individual provider Active NPI

Kurt Anthont Lejeune, D.D.S., DABCFP

  • General Practice Dentistry
  • Baton Rouge, LA
National Provider Identifier
1407970247
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4447 Issued in LA
Practice address
3138 McIlhenny Dr
Baton Rouge, LA 70809-8655
Phone
(225) 248-8400
Fax
(225) 248-8800
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
Yes

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
General Practice Dentistry 1223G0001X 4447 LA Primary

Addresses

Primary practice location

3138 McIlhenny Dr
Baton Rouge, LA 70809-8655

Mailing address

3138 McIlhenny Dr
Baton Rouge, LA 70809-8655
Phone (225) 248-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20150626000475 TX Order and Referring Only - DentistPractitioner - Dentist 5991017386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4447LAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Dental Sleep Medicine Center, LLC Past Accepting new patients
Cypress Dental General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407970247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3138 MCILHENNY DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708098655",
            "telephone_number": "225-248-8400",
            "fax_number": "225-248-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3138 MCILHENNY DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708098655",
            "telephone_number": "225-248-8400",
            "fax_number": "225-248-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEJEUNE",
        "first_name": "KURT",
        "middle_name": "ANTHONT",
        "name_prefix": "Dr.",
        "credential": "D.D.S., DABCFP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "4447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.