Individual provider Active NPI

Herbert Ludwig Saint Jean, DDS, MPH.

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1942410493
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8302 Issued in NC
Practice address
2034 Randolph Rd
Suite 100
Charlotte, NC 28207
Phone
(704) 334-2538
Fax
(704) 334-2539
NPI assigned
May 23, 2007
Last updated
Nov 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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 8302 NC Primary

Addresses

Primary practice location

2034 Randolph Rd
Suite 100
Charlotte, NC 28207

Mailing address

2034 Randolph Rd
Suite 100
Charlotte, NC 28207-1225
Phone (704) 334-2538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150421001593 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9436477577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Herbert Ludwig Saint Jean DDS PLLC 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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1942410493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 RANDOLPH RD",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071225",
            "telephone_number": "704-334-2538",
            "fax_number": "704-334-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 RANDOLPH RD",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28207",
            "telephone_number": "704-334-2538",
            "fax_number": "704-334-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAINT JEAN",
        "first_name": "HERBERT",
        "middle_name": "LUDWIG",
        "name_prefix": "Dr.",
        "credential": "DDS, MPH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.