Organization Active NPI

Jaubert Prosthetics, LLC

  • Prosthetic/Orthotic Supplier
  • Lake Charles, LA
National Provider Identifier
1780142836
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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

Updated by the provider on Apr 10, 2019

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.