Active NPI
John Jacob Lauten Jr., DDS MS
- Dentist
- Jacksonville, NC
National Provider Identifier
1497731749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4082
- Practice address
- 103 David PL
Jacksonville, NC 28540-8211 - Phone
- (910) 346-8531
- NPI assigned
- Dec 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4082 | NC | Primary |
Addresses
Primary practice location
103 David PL
Jacksonville, NC 28540-8211
Mailing address
103 David PL
Jacksonville, NC 28540-8211
Phone (910) 346-8531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160908002080 | NC | Order and Referring Only - Dentist | 1355637802 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4082 | NC | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359590400000",
"number": "1497731749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 DAVID PL",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285408211",
"telephone_number": "910-346-8531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 DAVID PL",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285408211",
"telephone_number": "910-346-8531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUTEN",
"first_name": "JOHN",
"middle_name": "JACOB",
"name_suffix": "Jr.",
"credential": "DDS MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2013-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "4082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, NC
- Sherri Lynn Lattibeaudeir, DNP
- Alexis B Lau
- Sheri L Laughinghouse, OD
- Lauren Dornell-Neal, LPC, Lcas, CH (Well Being Transitions Counseling and Consulting Services)
- Rashel Lee Lauret, M.S. LMFT
- Brianna Rene Lavoie, RBT
- Lawrence M Linett, MD, PLLC
- Brody Aaron Lawrence, PHARMD
- Erykah Lawson, MA
- Makenzie Isabelle Lay
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.