NPIMap

Organization Active NPI

Devereux and Nguyen LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Harvey, LA
National Provider Identifier
1467665505
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3676 Issued in LA
Legal business name
DEVEREUX AND NGUYEN LLC
Practice address
2800 Manhattan Blvd.
Suite D
Harvey, LA 70058-2904
Phone
(504) 368-7513
Fax
(504) 368-3932
NPI assigned
May 7, 2007
Last updated
May 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Authorized official

Name
Dr. Jack P Devereux, D.D.S., M.S.
Title
Owner and Orthodontist
Phone
(504) 368-7513

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 5714 LA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 3676 LA Primary

Addresses

Primary practice location

2800 Manhattan Blvd.
Suite D
Harvey, LA 70058-2904

Mailing address

2800 Manhattan Blvd.
Suite D
Harvey, LA 70058-2904
Phone (504) 368-7513

National Provider Directory

National Provider Directory
Tax ID family
Devereux and Nguyen LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2800 Manhattan Blvd
Ste D
Harvey, LA 70058
Phone (504) 368-7513

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1467665505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 MANHATTAN BLVD.",
            "address_2": "SUITE D",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700582904",
            "telephone_number": "504-368-7513",
            "fax_number": "504-368-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 MANHATTAN BLVD.",
            "address_2": "SUITE D",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700582904",
            "telephone_number": "504-368-7513",
            "fax_number": "504-368-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVEREUX AND NGUYEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "DEVEREUX",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER AND ORTHODONTIST",
        "authorized_official_telephone_number": "504-368-7513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "LA",
            "license": "5714",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "LA",
            "license": "3676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.