Individual provider Active NPI

Michael T Robichaux, DDS

  • General Practice Dentistry
  • Slidell, LA
National Provider Identifier
1891845814
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2551 Issued in LA
Practice address
1101 Robert Blvd
Ste. a
Slidell, LA 70458-2013
Phone
(985) 641-8058
Fax
(985) 641-8087
NPI assigned
Jan 11, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2551 LA Primary

Addresses

Primary practice location

1101 Robert Blvd
Ste. a
Slidell, LA 70458-2013

Mailing address

1101 Robert Blvd
Ste. a
Slidell, LA 70458-2013
Phone (985) 641-8058

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
2551LAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891845814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 ROBERT BLVD",
            "address_2": "STE. A",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582013",
            "telephone_number": "985-641-8058",
            "fax_number": "985-641-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 ROBERT BLVD",
            "address_2": "STE. A",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582013",
            "telephone_number": "985-641-8058",
            "fax_number": "985-641-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBICHAUX",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "2551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.