NPIMap

Organization Active NPI

Jade F Fontenot DDS LLC

  • General Practice Dentistry
  • Crowley, LA
National Provider Identifier
1861978041
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6673 Issued in LA
Legal business name
JADE F FONTENOT DDS LLC
Practice address
725 N Avenue K
Crowley, LA 70526-3848
Phone
(337) 783-2455
Fax
(337) 783-3815
NPI assigned
Jul 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Authorized official

Name
Dr. Jade F Fontenot, DDSNPI 1396196275
Title
Owner
Phone
(337) 783-2455

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6673 LA Primary

Addresses

Primary practice location

725 N Avenue K
Crowley, LA 70526-3848

Mailing address

725 N Avenue K
Crowley, LA 70526-3848
Phone (337) 783-2455

National Provider Directory

National Provider Directory

Locations

725 N Avenue K
Crowley, LA 70526
Phone (337) 783-2455

Practitioners & affiliated clinicians

Practitioners 3

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": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1861978041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 N AVENUE K",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705263848",
            "telephone_number": "337-783-2455",
            "fax_number": "337-783-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N AVENUE K",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705263848",
            "telephone_number": "337-783-2455",
            "fax_number": "337-783-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADE F FONTENOT DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "FONTENOT",
        "authorized_official_first_name": "JADE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-783-2455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crowley, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.