Individual provider Active NPI

Christopher Joubert, DDS

  • Endodontics
  • East Patchogue, NY
National Provider Identifier
1871736165
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
055176-1 Issued in NY
Practice address
250 Patchogue Yaphank Rd Ste 9
East Patchogue, NY 11772
Phone
(631) 475-3400
NPI assigned
Apr 15, 2009
Last updated
Jun 12, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 055176-1 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

250 Patchogue Yaphank Rd Ste 9
East Patchogue, NY 11772

Mailing address

250 Patchogue Yaphank Rd Ste 9
East Patchogue, NY 11772-4862
Phone (631) 475-3400

Other practice location 1

384 Montauk Hwy Ste 4
Wainscott, NY 11975-2000
Phone (631) 319-8115

Other practice location 2

79 Middleville Rd
Dental Services (160)
Northport, NY 11768-2200
Phone (631) 261-4400 ext. 7619

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
055176-1NYMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Endodontic Artistry of Wainscott PC Endodontics Past Accepting new patients
Endodontic Artistry Endodontics Past Accepting new patients
Christopher Joubert DDS PC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1871736165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PATCHOGUE YAPHANK RD STE 9",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724862",
            "telephone_number": "631-475-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PATCHOGUE YAPHANK RD STE 9",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "11772",
            "telephone_number": "631-475-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "384 Montauk Hwy Ste 4",
            "address_purpose": "LOCATION",
            "city": "Wainscott",
            "state": "NY",
            "postal_code": "119752000",
            "country_code": "US",
            "telephone_number": "631-319-8115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "79 Middleville Rd",
            "address_2": "Dental Services (160)",
            "address_purpose": "LOCATION",
            "city": "Northport",
            "state": "NY",
            "postal_code": "117682200",
            "country_code": "US",
            "telephone_number": "631-261-4400 x7619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOUBERT",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-15",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "055176-1",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.