Individual provider Active NPI

Peter D Igoe, D.D.S.

  • General Practice Dentistry
  • Metairie, LA
National Provider Identifier
1841586641
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6192 Issued in LA
Practice address
2222 Clearview Pkwy
Ste. 1
Metairie, LA 70001-2437
Phone
(504) 302-4204
Fax
(504) 454-0855
NPI assigned
Jun 21, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10795 KY
General Practice Dentistry 1223G0001X 35920 TX
General Practice Dentistry 1223G0001X 12013882A IN
General Practice Dentistry 1223G0001X 6192 LA Primary

Addresses

Primary practice location

2222 Clearview Pkwy
Ste. 1
Metairie, LA 70001-2437

Mailing address

2222 Clearview Pkwy
Ste. 1
Metairie, LA 70001-2437
Phone (504) 302-4204

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
12013882AINMDGeneral Practice Dentistry
10795KYMDGeneral Practice Dentistry
6192LAMDGeneral Practice Dentistry
35920TXMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1841586641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 CLEARVIEW PKWY",
            "address_2": "STE. 1",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012437",
            "telephone_number": "504-302-4204",
            "fax_number": "504-454-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 CLEARVIEW PKWY",
            "address_2": "STE. 1",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012437",
            "telephone_number": "504-302-4204",
            "fax_number": "504-454-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGOE",
        "first_name": "PETER",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-21",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "10795",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35920",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12013882A",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.