Active NPI
James Alan Crouch, DDS
- Dentist
- Kenner, LA
National Provider Identifier
1700918653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3941
- Practice address
- 231A W Esplanade Ave
Kenner, LA 70065-2459 - Phone
- (404) 468-9859
- Fax
- (504) 468-9881
- NPI assigned
- Mar 9, 2007
- Sex
- Male
- 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 | 3941 | LA | Primary |
Addresses
Primary practice location
231A W Esplanade Ave
Kenner, LA 70065-2459
Mailing address
231A W Esplanade Ave
Kenner, LA 70065-2459
Phone (404) 468-9859
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 |
|---|---|---|---|
| 3941 | LA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana Dental Professionals, Donovan Dronet, DDS, a Professional de | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Kenner, LA
- NPI 1801653308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700918653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231A W ESPLANADE AVE",
"city": "KENNER",
"state": "LA",
"postal_code": "700652459",
"telephone_number": "404-468-9859",
"fax_number": "504-468-9881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231A W ESPLANADE AVE",
"city": "KENNER",
"state": "LA",
"postal_code": "700652459",
"telephone_number": "404-468-9859",
"fax_number": "504-468-9881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROUCH",
"first_name": "JAMES",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "3941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenner, LA
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.