Active NPI
Hannah Boudreaux Noto, DDS
- Pediatric Dentistry
- Lafayette, LA
National Provider Identifier
1417577461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 6861
- 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
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6861 | LA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Pediatric Dentistry, LLC | Pediatric Dentistry | Current | 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.
-
- Pediatric Dentistry
- Lafayette, LA
- NPI 1134900582
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.