Individual provider Active NPI

Hannah Boudreaux Noto, DDS

  • Pediatric Dentistry
  • Lafayette, LA
National Provider Identifier
1417577461
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
6861 Issued in LA
Practice address
185 S Beadle Rd
Lafayette, LA 70508-4287
Phone
(337) 344-8034
Fax
(178) 533-7261
NPI assigned
Apr 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 6861 LA Primary

Addresses

Primary practice location

185 S Beadle Rd
Lafayette, LA 70508-4287

Mailing address

185 S Beadle Rd
Lafayette, LA 70508-4287
Phone (337) 344-8034

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drjohn@drjohnhendry.com Direct

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

LicenseStateTypeSpecialty
6861LAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Park Pediatric Dentistry, LLC Pediatric Dentistry CurrentSince Oct 15, 2023 Accepting new patients

Locations

2005 Verot School Rd
Ste 101
Lafayette, LA 70508
Phone (337) 252-0388

Organizations & group practices 1

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": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1417577461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 S BEADLE RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084287",
            "telephone_number": "337-344-8034",
            "fax_number": "178-533-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 S BEADLE RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084287",
            "telephone_number": "337-344-8034",
            "fax_number": "178-533-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOTO",
        "first_name": "HANNAH",
        "middle_name": "BOUDREAUX",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "LA",
            "license": "6861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drjohn@drjohnhendry.com",
            "affiliation": "N",
            "endpointDescription": "email address for office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "185 S Beadle Rd",
            "city": "Lafayette",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705084287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 20, 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.

Verify at the official NPI Registry.