Individual provider Active NPI

Joshua Osteel Hafford, D.D.S.

  • General Practice Dentistry
  • Luling, LA
National Provider Identifier
1447543665
Registry record updated May 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6154 Issued in LA
Practice address
111 Lakewood Dr
Suite a
Luling, LA 70070-3002
Phone
(985) 785-6838
NPI assigned
May 20, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2011

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 6154 LA Primary

Addresses

Primary practice location

111 Lakewood Dr
Suite a
Luling, LA 70070-3002

Mailing address

612 Willowdale Blvd
Luling, LA 70070-3118

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
I20160203000961 LA Order and Referring Only - DentistPractitioner - Dentist 6507160082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
J David Brannen DDS General Practice Past Accepting new patients

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": "1305849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305849600000",
    "number": "1447543665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 WILLOWDALE BLVD",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700703118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LAKEWOOD DR",
            "address_2": "SUITE A",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700703002",
            "telephone_number": "985-785-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFFORD",
        "first_name": "JOSHUA",
        "middle_name": "OSTEEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-20",
        "last_updated": "2011-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Luling, LA

Sources for this page

Verify at the official NPI Registry.