NPIMap

Organization Active NPI

Clayton J. Charbonnet Jr.,D.D.S.,a.P.O.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Covington, LA
National Provider Identifier
1679626329
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2349 Issued in LA
Legal business name
CLAYTON J. CHARBONNET JR.,D.D.S.,A.P.O.
Practice address
61 Park Place Dr
Suite B
Covington, LA 70433-5290
Phone
(985) 867-3636
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Clayton J. Charbonnet Jr., D.D.S.
Title
Doctor
Phone
(985) 867-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 2349 LA Primary

Addresses

Primary practice location

61 Park Place Dr
Suite B
Covington, LA 70433-5290

Mailing address

61 Park Place Dr
Suite B
Covington, LA 70433-5290
Phone (985) 867-3636

National Provider Directory

National Provider Directory
Tax ID family
Clayton J Charbonnet Jrddsapo3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

61 Park Place Dr
Ste B
Covington, LA 70433
Phone (985) 867-3636

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679626329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 PARK PLACE DR",
            "address_2": "SUITE B",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335290",
            "telephone_number": "985-867-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 PARK PLACE DR",
            "address_2": "SUITE B",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335290",
            "telephone_number": "985-867-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON J. CHARBONNET JR.,D.D.S.,A.P.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHARBONNET",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "985-867-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "LA",
            "license": "2349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.