Individual provider Active NPI

Rene L. Deboisblanc, M.D.

  • Specialist
  • Metairie, LA
National Provider Identifier
1922011030
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
012701 Issued in LA
Practice address
4224 Houma Blvd Ste 330
Metairie, LA 70006-2936
Phone
(504) 454-6338
Fax
(504) 456-8016
NPI assigned
Aug 14, 2006
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
Specialist 174400000X 012701 LA Primary

Addresses

Primary practice location

4224 Houma Blvd Ste 330
Metairie, LA 70006-2936

Mailing address

4224 Houma Blvd Ste 330
Metairie, LA 70006-2936
Phone (504) 454-6338

Other identifiers 1

IdentifierTypeStateIssuer
1146129MedicaidLA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
012701LAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922011030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 HOUMA BLVD STE 330",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062936",
            "telephone_number": "504-454-6338",
            "fax_number": "504-456-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 HOUMA BLVD STE 330",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062936",
            "telephone_number": "504-454-6338",
            "fax_number": "504-456-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBOISBLANC",
        "first_name": "RENE",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "012701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1146129",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, 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.