Reynold Louis Gaubert Jr., DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

2533 Issued in LA

Practice address

3839 W Congress St
Suite a
Lafayette, LA 70506-6000

Phone

(337) 984-1059

Fax

(337) 984-2043

NPI assigned

Apr 10, 2013

Last updated

Apr 10, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Reynold L Gaubert DMD

  • Endodontics
  • Lafayette, LA
  • NPI 1619044021
  NPD (past) Authorized official

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1801239710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 W CONGRESS ST",
            "address_2": "SUITE A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066000",
            "telephone_number": "337-984-1059",
            "fax_number": "337-984-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 W CONGRESS ST",
            "address_2": "SUITE A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066000",
            "telephone_number": "337-984-1059",
            "fax_number": "337-984-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUBERT",
        "first_name": "REYNOLD",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "LA",
            "license": "2533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gastroenterology Clinic of Acadiana LLC
• Gastroenterology Clinics of Louisiana (Gastro Louisiana)
• Trevor Austin Gates, APRN, FNP-C
• Mary S Gathe, LCSW
• Joan G Gatte, APRN
• Pratima Gaulee, M.D
• Chakshu Gautam, M.D.
• Ariadne A Gauthier, MD
• Joan Gauthier
• Donna Marie Gauthreaux, O.D.

• Endodontics in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Endodontics in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.