Individual provider Active NPI

Dave Joseph Cavalier III, M.S., CCC-A

  • Audiologist
  • New Iberia, LA
National Provider Identifier
1902001050
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
3596 Issued in LA
Practice address
425 E Saint Peter St
New Iberia, LA 70560-3752
Phone
(337) 364-9156
Fax
(337) 560-1627
NPI assigned
Jun 19, 2007
Last updated
Dec 3, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 3596 LA Primary

Addresses

Primary practice location

425 E Saint Peter St
New Iberia, LA 70560-3752

Mailing address

425 E Saint Peter St
New Iberia, LA 70560-3752
Phone (337) 364-9156

Other identifiers 1

IdentifierTypeStateIssuer
1667340MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081030000215 LA Practitioner - Qualified Audiologist 1456410885 Practice locations: New Iberia, LA

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

425 E Saint Peter St
New Iberia, LA 70560-3752

425 E St Peter
New Iberia, LA 70560-3707

425 E St Peter St
New Iberia, LA 70560-3707
Phone (337) 364-9156

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
3596LAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Acadiana Hearing Center Audiologist 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, 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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1902001050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E SAINT PETER ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705603752",
            "telephone_number": "337-364-9156",
            "fax_number": "337-560-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E SAINT PETER ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705603752",
            "telephone_number": "337-364-9156",
            "fax_number": "337-560-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALIER",
        "first_name": "DAVE",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "LA",
            "license": "3596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1667340",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.