NPIMap

Organization Active NPI

Fabre Family Dental Care of Marrero

  • General Practice Dentistry
  • Marrero, LA
National Provider Identifier
1457846461
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5874 Issued in LA
Legal business name
FABRE FAMILY DENTAL CARE OF MARRERO
Practice address
2665 Barataria Blvd
Marrero, LA 70072
Phone
(504) 348-4232
Fax
(504) 348-8094
NPI assigned
Jun 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Authorized official

Name
Dr. Keith J Fabre Jr., DDSNPI 1043454341
Title
Owner
Phone
(504) 615-4799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5874 LA Primary

Addresses

Primary practice location

2665 Barataria Blvd
Marrero, LA 70072

Mailing address

PO Box 5958
Metairie, LA 70009-5958
Phone (504) 455-5864

Other practice location 1

3133 Edenborn Ave
Metairie, LA 70002-6405
Phone (504) 455-5864

National Provider Directory

National Provider Directory

Locations

2665 Barataria Blvd
Marrero, LA 70072
Phone (504) 348-4232

3133 Edenborn Ave
Metairie, LA 70002
Phone (504) 455-5864

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1457846461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5958",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700095958",
            "telephone_number": "504-455-5864",
            "fax_number": "504-455-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 BARATARIA BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "70072",
            "telephone_number": "504-348-4232",
            "fax_number": "504-348-8094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3133 Edenborn Ave",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700026405",
            "country_code": "US",
            "telephone_number": "504-455-5864",
            "fax_number": "504-455-5867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FABRE FAMILY DENTAL CARE OF MARRERO",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "FABRE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-615-4799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.