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Organization Active NPI

Devereux and Nguyen LLC

Doing business as Devereux and Nguyen Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Luling, LA
National Provider Identifier
1689913089
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
DEVEREUX AND NGUYEN LLC
Doing business as
Devereux and Nguyen Orthodontics
Practice address
111 Lakewood Dr Ste B
Luling, LA 70070-3002
Phone
(985) 785-2288
NPI assigned
Feb 5, 2013
Last updated
Feb 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Authorized official

Name
Jack Devereux, DDS
Title
Owner
Phone
(504) 368-3932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

111 Lakewood Dr Ste B
Luling, LA 70070-3002

Mailing address

111 Lakewood Dr Ste B
Luling, LA 70070-3002

Other names 1

  • Devereux and Nguyen Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Devereux and Nguyen LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1689913089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 LAKEWOOD DR STE B",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700703002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LAKEWOOD DR STE B",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700703002",
            "telephone_number": "985-785-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVEREUX AND NGUYEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "DEVEREUX",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-368-3932",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Devereux and Nguyen Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Luling, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.