Active NPI
John M. Oubre, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lafayette, LA
National Provider Identifier
1639101207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- LA3449
- Practice address
- 1605 Kaliste Saloom Rd
Lafayette, LA 70508-6109 - Phone
- (337) 988-2025
- Fax
- (337) 983-0479
- NPI assigned
- Jul 6, 2006
- 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 | LA3449 | LA | Primary |
Addresses
Primary practice location
1605 Kaliste Saloom Rd
Lafayette, LA 70508-6109
Mailing address
1605 Kaliste Saloom Rd
Lafayette, LA 70508-6109
Phone (337) 988-2025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C1376 | Other | LA | PROVIDER # |
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 |
|---|---|---|---|
| LA3449 | 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": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639101207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 KALISTE SALOOM RD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705086109",
"telephone_number": "337-988-2025",
"fax_number": "337-983-0479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 KALISTE SALOOM RD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705086109",
"telephone_number": "337-988-2025",
"fax_number": "337-983-0479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OUBRE",
"first_name": "JOHN",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "LA",
"license": "LA3449",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER #",
"identifier": "C1376",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
- Patricia Ann Osborne, BCPC
- Robert C. Osborne, MD
- Maddie Osburn
- David Adeiza Otohinoyi, MD, PHD
- Evalyn Yvette Otzenberger, LCSW
- Sean Matthew Oubre
- Jaime Michael Ougel, G.N.P., APMHNP
- Our Lady of Lourdes Apothecary
- Our Lady of Lourdes Dba James Mwatibo, M.D.
- Our Lady of Lourdes Regional (Richard Hsin Fei MD)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.