Edmond J. Ganucheau, Jr. DDS, Apdc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4959 Issued in LA

Legal business name

EDMOND J. GANUCHEAU, JR. DDS, APDC

Practice address

2825 Houma Blvd
Metairie, LA 70006-6635

Phone

(504) 887-3121

NPI assigned

Sep 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Bryon C Ganucheau, DDS

Title

President

Phone

(504) 887-3121

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Byron Charles Ganucheau, D.D.S.

  • General Practice Dentistry
  • Metairie, LA
  • NPI 1710196787
  NPD (past)

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1942550470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 HOUMA BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700066635",
            "telephone_number": "504-887-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 HOUMA BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700066635",
            "telephone_number": "504-887-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMOND J. GANUCHEAU, JR. DDS, APDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "GANUCHEAU",
        "authorized_official_first_name": "BRYON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-887-3121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "4959",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5403",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shehab Azmy Ebrahim, M.D.
• Charles Eckert, MD
• Cameron J Eckholdt, PLPC
• Ashanti Eden
• Joshua Edler Davis
• Milahn Taylor Edmond
• Eric Leonard Edmundson, M.A.M.F.T., C.I.T.
• Subbaramamma Edupuganti, MD
• Edward Blache Rnfa a Professional Nursing Corporation
• Edward Brown and Jessica Ulmer Specialty Partners of Louisiana LLC (Brown Family Ortho - Chalmette)

• General Practice Dentistry in Metairie, LA
• Providers in Metairie, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.