Individual provider Active NPI

Terry F Fugetta, D.D.S.

  • General Practice Dentistry
  • Metairie, LA
National Provider Identifier
1750503868
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2967 Issued in LA
Practice address
4508 Clearview Pkwy
Suite 1a
Metairie, LA 70006-2379
Phone
(504) 454-7008
Fax
(504) 456-7308
NPI assigned
May 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2967 LA Primary

Addresses

Primary practice location

4508 Clearview Pkwy
Suite 1a
Metairie, LA 70006-2379

Mailing address

4508 Clearview Pkwy
Suite 1a
Metairie, LA 70006-2379
Phone (504) 454-7008

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160915000451 LA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 7810280542

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750503868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4508 CLEARVIEW PKWY",
            "address_2": "SUITE 1A",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062379",
            "telephone_number": "504-454-7008",
            "fax_number": "504-456-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 CLEARVIEW PKWY",
            "address_2": "SUITE 1A",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062379",
            "telephone_number": "504-454-7008",
            "fax_number": "504-456-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUGETTA",
        "first_name": "TERRY",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "2967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.