Jared Brian Palmer, BSC, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7148 Issued in LA

Practice address

810 Bayou LN
Thibodaux, LA 70301-4906

Phone

(985) 446-2888

Fax

(985) 447-1007

NPI assigned

Nov 24, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Acadia Family Dentistry

  • Dental Clinic/Center
  • Thibodaux, LA
  • NPI 1194291146
  NPD
• Ellis D. Braud and Fred a. Tenney

  • General Practice Dentistry
  • Thibodaux, LA
  • NPI 1275061079
  NPD

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1457955072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 N CANAL BLVD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703018076",
            "telephone_number": "985-243-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 BAYOU LN",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014906",
            "telephone_number": "985-446-2888",
            "fax_number": "985-447-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "JARED",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "BSC, DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-24",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "7148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Outlier'S Counseling Services
• Outpatient Strategies LLC
• Brooke Overley
• P. Truett Ray, Jr.,M.D.L.L.C.
• Natalie Palacio
• Nancy Marie Parisean, RN
• Brian Jude Parker, M.D.
• Kristin Champine Pasqua, LPC
• Craig S Pate, P.T.
• Sandeep Ambalal Patel, MD

• General Practice Dentistry in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.