NPIMap

Organization Active NPI

K. Richard Dubois, D.D.S.

  • General Practice Dentistry
  • Metairie, LA
National Provider Identifier
1750708533
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2809 Issued in LA
Legal business name
K. RICHARD DUBOIS, D.D.S.
Practice address
3008 20TH St Ste H
Metairie, LA 70002-4900
Phone
(504) 834-1993
Fax
(504) 834-1620
NPI assigned
Mar 18, 2014
Last updated
Mar 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Authorized official

Name
Dr. Kenneth Richard Dubois II, DDSNPI 1093748972
Title
Owner
Phone
(504) 834-1993

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
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 2809 LA Primary

Addresses

Primary practice location

3008 20TH St Ste H
Metairie, LA 70002-4900

Mailing address

3008 20TH St Ste H
Metairie, LA 70002-4900
Phone (504) 834-1993

National Provider Directory

National Provider Directory
Tax ID family
K Richard Dubois DDS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1750708533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 20TH ST STE H",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024900",
            "telephone_number": "504-834-1993",
            "fax_number": "504-834-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 20TH ST STE H",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024900",
            "telephone_number": "504-834-1993",
            "fax_number": "504-834-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K. RICHARD DUBOIS, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "DUBOIS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-834-1993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "2809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.