Individual provider Active NPI

Raymond Howard John, D.D.S.

  • General Practice Dentistry
  • Monroe, LA
National Provider Identifier
1902926546
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2176 Issued in LA
Practice address
2001 Forsythe Ave
Building 1
Monroe, LA 71201-3608
Phone
(318) 322-1043
Fax
(318) 322-4466
NPI assigned
Mar 29, 2007
Last updated
Jul 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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 2176 LA Primary

Addresses

Primary practice location

2001 Forsythe Ave
Building 1
Monroe, LA 71201-3608

Mailing address

2001 Forsythe Ave
Building 1
Monroe, LA 71201-3608
Phone (318) 322-1043

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
2176LAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1902926546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 FORSYTHE AVE",
            "address_2": "BUILDING 1",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013608",
            "telephone_number": "318-322-1043",
            "fax_number": "318-322-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 FORSYTHE AVE",
            "address_2": "BUILDING 1",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013608",
            "telephone_number": "318-322-1043",
            "fax_number": "318-322-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "RAYMOND",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "2176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.