Individual provider Active NPI

William Ross Ledoux

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mandeville, LA
National Provider Identifier
1801900675
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2993 Issued in LA
Practice address
260 Dalwill Dr
Mandeville, LA 70471-3372
Phone
(985) 674-1500
Fax
(985) 674-9188
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 2993 LA Primary

Addresses

Primary practice location

260 Dalwill Dr
Mandeville, LA 70471-3372

Mailing address

260 Dalwill Dr
Mandeville, LA 70471-3372
Phone (985) 674-1500

Other identifiers 2

IdentifierTypeStateIssuer
116434OtherLAUNITED CONCORDIA
1829935MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2993LAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
William R. Ledoux D.D.S. a.P.D.C. Orthodontics and Dentofacial Orthopedics Current Accepting new patients
Michaelis and Ledoux Orthodontics LLC Orthodontics and Dentofacial Orthopedics PastSince Aug 27, 2023 Accepting new patients

Locations

260 Dalwill Dr
Mandeville, LA 70471
Phone (985) 674-1500

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1801900675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 DALWILL DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713372",
            "telephone_number": "985-674-1500",
            "fax_number": "985-674-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 DALWILL DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713372",
            "telephone_number": "985-674-1500",
            "fax_number": "985-674-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDOUX",
        "first_name": "WILLIAM",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "LA",
            "license": "2993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "116434",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1829935",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.