Individual provider Active NPI

Jeffrey Walker Dongieux, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Houston, TX
National Provider Identifier
1497788368
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
5529 Issued in LA
Practice address
8330 Long Point Rd
Houston, TX 77055-2023
Phone
(713) 461-4770
Fax
(713) 461-0998
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X 22969 TX
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 5529 LA Primary

Addresses

Primary practice location

8330 Long Point Rd
Houston, TX 77055-2023

Mailing address

1900 W. Esplanade Ave.
Ste 101
Kenner, LA 70065
Phone (504) 468-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22969TXMDOral and Maxillofacial Pathology Dentist
5529LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brident Dental Associates PC Past Accepting new patients
Jeffrey W. Dongieux, D.D.S. a Professional Corporation Oral and Maxillofacial Surgery Past Accepting new patients
South Texas Dental Associates, L.P. Past Accepting new patients

Organizations & group practices 3

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1497788368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W. ESPLANADE AVE.",
            "address_2": "STE 101",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "70065",
            "telephone_number": "504-468-8300",
            "fax_number": "504-468-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8330 LONG POINT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770552023",
            "telephone_number": "713-461-4770",
            "fax_number": "713-461-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONGIEUX",
        "first_name": "JEFFREY",
        "middle_name": "WALKER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "TX",
            "license": "22969",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "LA",
            "license": "5529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.