Active NPI
Ronald Charles Le Jeune, D.D.S.
- Public Health Dentistry
- Mandeville, LA
National Provider Identifier
1952320665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 6930
- Practice address
- 812 Park Ave
Mandeville, LA 70448-4921 - Phone
- (985) 624-7400
- Fax
- (985) 624-7425
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 6930 | CO | Primary |
Addresses
Primary practice location
812 Park Ave
Mandeville, LA 70448-4921
Mailing address
916 Desire St
New Orleans, LA 70117-6250
Phone (504) 945-1439
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6930 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952320665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 DESIRE ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701176250",
"telephone_number": "504-945-1439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 PARK AVE",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704484921",
"telephone_number": "985-624-7400",
"fax_number": "985-624-7425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE JEUNE",
"first_name": "RONALD",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "CO",
"license": "6930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mandeville, 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.