Organization Active NPI

Robin C. Ardoin DDS PHD Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Opelousas, LA
National Provider Identifier
1619152501
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
4255 Issued in LA
Legal business name
ROBIN C. ARDOIN DDS PHD INC
Practice address
2351 Larkspur LN
Opelousas, LA 70570-8664
Phone
(337) 948-9878
Fax
(337) 948-9097
NPI assigned
Jan 9, 2008
Last updated
Mar 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Sandra P Huguet
Title
Office Manager
Phone
(337) 948-9878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 4255 LA Primary

Addresses

Primary practice location

2351 Larkspur LN
Opelousas, LA 70570-8664

Mailing address

2351 Larkspur LN
Opelousas, LA 70570-8664
Phone (337) 948-9878

Other identifiers 2

IdentifierTypeStateIssuer
1846252MedicaidLA
1842559MedicaidLA

National Provider Directory

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

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1619152501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 LARKSPUR LN",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705708664",
            "telephone_number": "337-948-9878",
            "fax_number": "337-948-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 LARKSPUR LN",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705708664",
            "telephone_number": "337-948-9878",
            "fax_number": "337-948-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBIN C. ARDOIN DDS PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "HUGUET",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "337-948-9878"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "LA",
            "license": "4255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1846252",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1842559",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.