Individual provider Active NPI

Kevin C Astugue, DDS

  • General Practice Dentistry
  • New Orleans, LA
National Provider Identifier
1427433507
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6588 Issued in LA
Practice address
100 Robert E. Lee Blvd.
New Orleans, LA 70124-1326
Phone
(504) 286-3880
Fax
(504) 286-3882
NPI assigned
Jul 30, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2018

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 6588 LA Primary

Addresses

Primary practice location

100 Robert E. Lee Blvd.
New Orleans, LA 70124-1326

Mailing address

100 Robert E. Lee Blvd.
New Orleans, LA 70124-1326
Phone (504) 286-3880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20160630000040 LA Order and Referring Only - DentistPractitioner - Dentist 4082906607

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1427433507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROBERT E. LEE BLVD.",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701241326",
            "telephone_number": "504-286-3880",
            "fax_number": "504-286-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROBERT E. LEE BLVD.",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701241326",
            "telephone_number": "504-286-3880",
            "fax_number": "504-286-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTUGUE",
        "first_name": "KEVIN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-30",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.