Active NPI
Gage Evans Ritter, DDS
- Dentist
- Lafayette, LA
National Provider Identifier
1851854723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6968
- Practice address
- 4243 Ambassador Caffery Pkwy Ste 118
Lafayette, LA 70508-7268 - Phone
- (337) 422-3587
- NPI assigned
- Apr 9, 2019
- 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 | 6968 | LA | Primary |
Addresses
Primary practice location
4243 Ambassador Caffery Pkwy Ste 118
Lafayette, LA 70508-7268
Mailing address
16606 Windmill LN
Iowa, LA 70647-6343
Phone (337) 912-5176
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 |
|---|---|---|---|
| 6968 | LA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacob Dent, DDS Lafayette Modern Dentistry, a Professional Corporation | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Lafayette, LA
- NPI 1538530381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569283200000",
"number": "1851854723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16606 WINDMILL LN",
"city": "IOWA",
"state": "LA",
"postal_code": "706476343",
"telephone_number": "337-912-5176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4243 AMBASSADOR CAFFERY PKWY STE 118",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705087268",
"telephone_number": "337-422-3587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RITTER",
"first_name": "GAGE",
"middle_name": "EVANS",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-09",
"last_updated": "2019-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "6968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.