Active NPI
Lindsey Pherribo, DDS
- Dentist
- Luling, LA
National Provider Identifier
1982137980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6881
- Practice address
- 843 Milling Ave
Luling, LA 70070-4442 - Phone
- (985) 785-5847
- NPI assigned
- Apr 6, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6881 | LA | Primary |
Addresses
Primary practice location
843 Milling Ave
Luling, LA 70070-4442
Mailing address
843 Milling Ave
Luling, LA 70070-4442
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170905003344 | LA | Order and Referring Only - Dentist | 9739452244 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6881 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532390400000",
"number": "1982137980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "843 MILLING AVE",
"city": "LULING",
"state": "LA",
"postal_code": "700704442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "843 MILLING AVE",
"city": "LULING",
"state": "LA",
"postal_code": "700704442",
"telephone_number": "985-785-5847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHERRIBO",
"first_name": "LINDSEY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-06",
"last_updated": "2018-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "LA",
"license": "6881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Luling, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.