Individual provider Active NPI

Jose John Figueroa, D.M.D.

  • General Practice Dentistry
  • Metairie, LA
National Provider Identifier
1962550301
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5225 Issued in LA
Practice address
1000 Veterans Memorial Blvd
Ste. 302
Metairie, LA 70005-2852
Phone
(504) 831-7339
Fax
(504) 831-7774
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 5225 LA Primary

Addresses

Primary practice location

1000 Veterans Memorial Blvd
Ste. 302
Metairie, LA 70005-2852

Mailing address

1000 Veterans Memorial Blvd
Ste. 302
Metairie, LA 70005-2852
Phone (504) 831-7339

Other identifiers 2

IdentifierTypeStateIssuer
880039OtherUNITED CONCORDIA
1852252MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20160328001180 LA Order and Referring Only - DentistPractitioner - Dentist 0547567182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5225LAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1962550301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 VETERANS MEMORIAL BLVD",
            "address_2": "STE. 302",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700052852",
            "telephone_number": "504-831-7339",
            "fax_number": "504-831-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 VETERANS MEMORIAL BLVD",
            "address_2": "STE. 302",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700052852",
            "telephone_number": "504-831-7339",
            "fax_number": "504-831-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIGUEROA",
        "first_name": "JOSE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "880039",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1852252",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.