NPIMap

Organization Active NPI

Michaelis and Ledoux Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mandeville, LA
National Provider Identifier
1730962234
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
MICHAELIS AND LEDOUX ORTHODONTICS LLC
Practice address
260 Dalwill Dr
Mandeville, LA 70471-3372
Phone
(985) 674-1500
Fax
(985) 674-9188
NPI assigned
Aug 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Dr. John W Michaelis, DDSNPI 1598330805
Title
Orthodontist
Phone
(985) 674-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

260 Dalwill Dr
Mandeville, LA 70471-3372

Mailing address

PO Box 1582
Mandeville, LA 70470-1582
Phone (985) 674-1500

Other practice location 1

1009 Highway 90
Bay St Louis, MS 39520-1524
Phone (228) 467-5393

National Provider Directory

National Provider Directory

Locations

260 Dalwill Dr
Mandeville, LA 70471
Phone (985) 674-1500

1009 Highway 90
Bay St Louis, MS 39520
Phone (228) 467-5393

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1730962234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1582",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704701582",
            "telephone_number": "985-674-1500",
            "fax_number": "985-674-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 DALWILL DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713372",
            "telephone_number": "985-674-1500",
            "fax_number": "985-674-9188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1009 Highway 90",
            "address_purpose": "LOCATION",
            "city": "Bay St Louis",
            "state": "MS",
            "postal_code": "395201524",
            "country_code": "US",
            "telephone_number": "228-467-5393",
            "fax_number": "228-467-7761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHAELIS AND LEDOUX ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "MICHAELIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "985-674-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.