Active NPI
Jaubert Prosthetics, LLC
- Prosthetic/Orthotic Supplier
- Lake Charles, LA
National Provider Identifier
1780142836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- JAUBERT PROSTHETICS, LLC
- Practice address
- 1625 Ryan St Ste C
Lake Charles, LA 70601-5965 - Phone
- (337) 437-6134
- Fax
- (337) 437-6135
- NPI assigned
- Mar 7, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jesse Benitez, Jr
- Title
- President
- Phone
- (337) 437-6134
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
1625 Ryan St Ste C
Lake Charles, LA 70601-5965
Mailing address
1625 Ryan St Ste C
Lake Charles, LA 70601-5965
Phone (337) 437-6134
National Provider Directory
National Provider DirectoryLocations
1625 Ryan St
Ste C
Lake Charles, LA 70601
Phone (337) 437-6134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554854400000",
"number": "1780142836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 RYAN ST STE C",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706015965",
"telephone_number": "337-437-6134",
"fax_number": "337-437-6135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 RYAN ST STE C",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706015965",
"telephone_number": "337-437-6134",
"fax_number": "337-437-6135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAUBERT PROSTHETICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-07",
"last_updated": "2019-04-10",
"status": "A",
"authorized_official_last_name": "BENITEZ, JR",
"authorized_official_first_name": "JESSE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "337-437-6134"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.