John Michaelis, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

4187-21 Issued in MS

Practice address

260 Dalwill Dr
Mandeville, LA 70471-3372

Phone

(985) 674-1500

NPI assigned

May 20, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Michaelis and Ledoux Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mandeville, LA
  • NPI 1730962234
  NPD Authorized official
• William R. Ledoux D.D.S. a.P.D.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mandeville, LA
  • NPI 1881708568
  NPD (past)

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1598330805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 DALWILL DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713372",
            "telephone_number": "985-674-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 DALWILL DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713372",
            "telephone_number": "985-674-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELIS",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MS",
            "license": "4187-21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John David Meteer, PHD
• Lauren Elizabeth Meyer
• Paige Duracher Meyer
• MHM Urgent Care Mandeville, LLC
• Michaelis and Ledoux Orthodontics LLC
• Michele Marie Mixon, LCSW
• David Scott Middleton
• Robert Miggins, LCSW
• Jennifer J. Miles, M.D.
• Milestone Family Resources

• Orthodontics and Dentofacial Orthopedics Dentistry in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.