Organization Active NPI

Ardoin-Kennedy LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Lafayette, LA
National Provider Identifier
1578089603
Registry record updated Aug 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
ARDOIN-KENNEDY LLC
Practice address
203 A Energy Parkway
Lafayette, LA 70508
Phone
(337) 234-1780
Fax
(337) 234-1723
NPI assigned
Aug 21, 2017
Last updated
Aug 21, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
ARDOIN-KENNEDY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 21, 2017

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

Authorized official

Name
Robin C Ardoin, DDSNPI 1639287154
Title
Owner
Phone
(337) 948-9878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X LA Primary

Addresses

Primary practice location

203 A Energy Parkway
Lafayette, LA 70508

Mailing address

2351 Larkspur Lane
Opelousas, LA 70570
Phone (337) 948-9878

Other identifiers 1

IdentifierTypeStateIssuer
1842559MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Robin C Ardoin DDS PHD Inc4 organizations share this tax ID, including this one
Part of
Robin C Ardoin DDS PHD Inc

Other organizations with this tax ID 3

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503273600000",
    "number": "1578089603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 LARKSPUR LANE",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "70570",
            "telephone_number": "337-948-9878",
            "fax_number": "332-948-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 A ENERGY PARKWAY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-234-1780",
            "fax_number": "337-234-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDOIN-KENNEDY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARDOIN-KENNEDY LLC",
        "enumeration_date": "2017-08-21",
        "last_updated": "2017-08-21",
        "status": "A",
        "authorized_official_last_name": "ARDOIN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-948-9878",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1842559",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; 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.