Active NPI
Ben A Vierra, DPM
- Podiatrist
- Lafayette, LA
National Provider Identifier
1700992187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PD034R
- Practice address
- 601 West St Mary Blvd
Ste 106
Lafayette, LA 70506 - Phone
- (337) 232-3576
- Fax
- (337) 233-0816
- NPI assigned
- Aug 21, 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PD034R | LA | Primary |
Addresses
Primary practice location
601 West St Mary Blvd
Ste 106
Lafayette, LA 70506
Mailing address
PO Box 51985
Lafayette, LA 70505-1985
Phone (337) 232-3576
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1318191 | Medicaid | LA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD034R | LA | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206662400000",
"number": "1700992187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51985",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705051985",
"telephone_number": "337-232-3576",
"fax_number": "337-233-2816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 WEST ST MARY BLVD",
"address_2": "STE 106",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "70506",
"telephone_number": "337-232-3576",
"fax_number": "337-233-0816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIERRA",
"first_name": "BEN",
"middle_name": "A",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2008-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "LA",
"license": "PD034R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1318191",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.