Active NPI
Daniel Paul Bordes, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- River Ridge, LA
National Provider Identifier
1619202843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 4261
- Practice address
- 9537 Jefferson Hwy
River Ridge, LA 70123-2507 - Phone
- (504) 737-7324
- Fax
- (504) 737-6551
- NPI assigned
- Oct 6, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 4261 | LA | Primary |
Addresses
Primary practice location
9537 Jefferson Hwy
River Ridge, LA 70123-2507
Mailing address
9537 Jefferson Hwy
River Ridge, LA 70123-2507
Phone (504) 737-7324
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4261 | LA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258502400000",
"number": "1619202843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9537 JEFFERSON HWY",
"city": "RIVER RIDGE",
"state": "LA",
"postal_code": "701232507",
"telephone_number": "504-737-7324",
"fax_number": "504-737-6551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9537 JEFFERSON HWY",
"city": "RIVER RIDGE",
"state": "LA",
"postal_code": "701232507",
"telephone_number": "504-737-7324",
"fax_number": "504-737-6551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORDES",
"first_name": "DANIEL",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-06",
"last_updated": "2009-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "LA",
"license": "4261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in River Ridge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.