Active NPI
Julia Cheuk, DDS, MPH
- Dentist
- Boutte, LA
National Provider Identifier
1679895049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6132
- Practice address
- 14243 Highway 90
Boutte, LA 70039-3517 - Phone
- (985) 758-5110
- NPI assigned
- Feb 25, 2010
- Last updated
- Aug 2, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6132 | LA | Primary |
Addresses
Primary practice location
14243 Highway 90
Boutte, LA 70039-3517
Mailing address
14243 Highway 90
Boutte, LA 70039-3517
Phone (504) 710-8884
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160421001908 | LA | Order and Referring Only - Dentist | 9234437799 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6132 | LA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375401600000",
"number": "1679895049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14243 HIGHWAY 90",
"city": "BOUTTE",
"state": "LA",
"postal_code": "700393517",
"telephone_number": "504-710-8884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14243 HIGHWAY 90",
"city": "BOUTTE",
"state": "LA",
"postal_code": "700393517",
"telephone_number": "985-758-5110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEUK",
"first_name": "JULIA",
"credential": "DDS, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-25",
"last_updated": "2013-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "6132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boutte, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.