Organization Active NPI

Natchitoches Pulmonary Consultant

  • Specialist
  • Natchitoches, LA
National Provider Identifier
1821157165
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
10683R Issued in LA
Legal business name
NATCHITOCHES PULMONARY CONSULTANT
Practice address
431 Jefferson St
Natchitoches, LA 71457-4633
Phone
(318) 354-0003
Fax
(318) 354-0903
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Javier Pere, M.D.NPI 1588668347
Title
Owner
Phone
(318) 354-0003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 10683R LA Primary

Addresses

Primary practice location

431 Jefferson St
Natchitoches, LA 71457-4633

Mailing address

431 Jefferson Street
Natchitoches, LA 71457-4633
Phone (318) 354-0003

Other identifiers 1

IdentifierTypeStateIssuer
1990051MedicaidLA

National Provider Directory

National Provider Directory

Locations

431 Jefferson St
Natchitoches, LA 71457
Phone (318) 352-0003

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821157165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 JEFFERSON STREET",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714574633",
            "telephone_number": "318-354-0003",
            "fax_number": "318-354-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 JEFFERSON ST",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714574633",
            "telephone_number": "318-354-0003",
            "fax_number": "318-354-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATCHITOCHES PULMONARY CONSULTANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERE",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-354-0003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "10683R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1990051",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchitoches, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.