Active NPI
Ted Methvin, DDS
- Dentist
- Natchitoches, LA
National Provider Identifier
1730307745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5942
- Practice address
- 116 South Dr
Ste 102
Natchitoches, LA 71457-5067 - Phone
- (318) 238-3335
- Fax
- (318) 238-3339
- NPI assigned
- Apr 23, 2007
- Last updated
- Jan 5, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5942 | LA | Primary |
| General Practice Dentistry | 1223G0001X | 19343 | TX |
Addresses
Primary practice location
116 South Dr
Ste 102
Natchitoches, LA 71457-5067
Mailing address
116 South Dr
Ste 102
Natchitoches, LA 71457-5067
Phone (318) 238-3335
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 |
|---|---|---|---|
| 19343 | TX | MD | Social Worker |
| 5942 | LA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ted a. Methvin DDS, a Dental Corporation | General Practice | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Natchitoches, LA
- NPI 1659511624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231113600000",
"number": "1730307745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 SOUTH DR",
"address_2": "STE 102",
"city": "NATCHITOCHES",
"state": "LA",
"postal_code": "714575067",
"telephone_number": "318-238-3335",
"fax_number": "318-238-3339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 SOUTH DR",
"address_2": "STE 102",
"city": "NATCHITOCHES",
"state": "LA",
"postal_code": "714575067",
"telephone_number": "318-238-3335",
"fax_number": "318-238-3339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METHVIN",
"first_name": "TED",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2009-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "5942",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "19343",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Natchitoches, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.