Active NPI
Jeffrey James Guidry, DENTIST DDS
- Dentist
- Eunice, LA
National Provider Identifier
1811041346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2824
- Practice address
- 501 Moosa Blvd
Eunice, LA 70535 - Phone
- (337) 457-7076
- Fax
- (337) 457-5928
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2824 | LA | Primary |
Addresses
Primary practice location
501 Moosa Blvd
Eunice, LA 70535
Mailing address
501 Moosa Blvd
Eunice, LA 70535
Phone (337) 457-7076
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1828246 | Medicaid | LA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2824 | LA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811041346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 MOOSA BLVD",
"city": "EUNICE",
"state": "LA",
"postal_code": "70535",
"telephone_number": "337-457-7076",
"fax_number": "337-457-5928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 MOOSA BLVD",
"city": "EUNICE",
"state": "LA",
"postal_code": "70535",
"telephone_number": "337-457-7076",
"fax_number": "337-457-5928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIDRY",
"first_name": "JEFFREY",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DENTIST DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "2824",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1828246",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eunice, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.