Larry J Verdun, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2163 Issued in LA

Practice address

1001B E 7TH St
Thibodaux, LA 70301-3610

Phone

(985) 446-8474

NPI assigned

Jan 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750430039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001B E 7TH ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703013610",
            "telephone_number": "985-446-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001B E 7TH ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703013610",
            "telephone_number": "985-446-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDUN",
        "first_name": "LARRY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "2163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Variet
• Chantrelle Deron Varnado-Johnson, PHD, LPC-S., NCC
• Venture Medical LLC
• Kelci Verdin, BS
• Kelsey Alexis Verdin
• Alexis Verret, BA
• Ethan Vickrey
• James Vidrine, PT
• Vicky L Vilcan, CRNA
• Kelly Vinet

• General Practice Dentistry in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• General Practice Dentistry in Louisiana

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.