NPIMap

Organization Active NPI

Clayton J. Charbonnet Jr., D.D.S., a.P.O

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Metairie, LA
National Provider Identifier
1508918343
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2349 Issued in LA
Legal business name
CLAYTON J. CHARBONNET JR., D.D.S., A.P.O
Practice address
5036 Yale St
Suite 301
Metairie, LA 70006-3980
Phone
(504) 456-7874
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Clayton Charbonnet Jr., D.D.SNPI 1366590713
Title
Doctor
Phone
98534033838

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 2349 LA Primary

Addresses

Primary practice location

5036 Yale St
Suite 301
Metairie, LA 70006-3980

Mailing address

5036 Yale St
Suite 301
Metairie, LA 70006-3980
Phone (504) 456-7874

National Provider Directory

National Provider Directory
Tax ID family
Clayton J Charbonnet Jrddsapo3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

5036 Yale St
Ste 301
Metairie, LA 70006
Phone (504) 207-0314

Practitioners & affiliated clinicians

Practitioners 1

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508918343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5036 YALE ST",
            "address_2": "SUITE 301",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700063980",
            "telephone_number": "504-456-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5036 YALE ST",
            "address_2": "SUITE 301",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700063980",
            "telephone_number": "504-456-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON J. CHARBONNET JR., D.D.S., A.P.O",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHARBONNET",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "98534033838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "LA",
            "license": "2349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.