Active NPI
David Elliott Doerle, D.D.S.
- Dentist
- New Iberia, LA
National Provider Identifier
1750620662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2278
- Practice address
- 107 Arbor LN
New Iberia, LA 70563-2822 - Phone
- (337) 365-7434
- NPI assigned
- Feb 13, 2013
- Last updated
- Feb 13, 2013
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2278 | LA | Primary |
Addresses
Primary practice location
107 Arbor LN
New Iberia, LA 70563-2822
Mailing address
107 Arbor LN
New Iberia, LA 70563-2822
Phone (337) 365-7434
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150709002407 | LA | Order and Referring Only - Dentist | 8527370154 |
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": "1360713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360713600000",
"number": "1750620662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 ARBOR LN",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705632822",
"telephone_number": "337-365-7434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 ARBOR LN",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705632822",
"telephone_number": "337-365-7434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOERLE",
"first_name": "DAVID",
"middle_name": "ELLIOTT",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-13",
"last_updated": "2013-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "2278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Iberia, LA
- Jayne Wallace Dishman, RPH
- Carl M Ditch, M.D.
- DMS Pharmacy, LLC (Delaune's Pharmacy and Home Medical)
- DMS Pharmacy, LLC (Delaune's Pharmacy and Home Medical)
- William Floyd Dockett II, MA, LAC, SAP, CCGC
- Kerwin V. Donaldson Jr., DDS
- Nicole Dossey, BA
- Daniel L Doucet, M.S.,ATC, LAT,LCEP
- Twyla Doucet
- Lauren Bacon Doumit, ACNPC-AG
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.