Active NPI
Gene O Dupree, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- Lafayette, LA
National Provider Identifier
1992720650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 2529
- Practice address
- 3839 W Congress St Ste C
Lafayette, LA 70506-6000 - Phone
- (337) 984-0403
- Fax
- (337) 981-9006
- NPI assigned
- Jul 13, 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 2529 | LA | Primary |
Addresses
Primary practice location
3839 W Congress St Ste C
Lafayette, LA 70506-6000
Mailing address
3839 W Congress St Ste C
Lafayette, LA 70506-6000
Phone (337) 984-0403
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1825298 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2004 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2529 | LA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clay Chandler DDS MD & Brian Kelley DDS MD Apc | Oral and Maxillofacial Surgery | 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 and National Provider Directory roles.
-
- Oral and Maxillofacial Surgery Clinic/Center
- Lafayette, LA
- NPI 1225235807
Oral and Maxillofacial Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467763200000",
"number": "1992720650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3839 W CONGRESS ST STE C",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705066000",
"telephone_number": "337-984-0403",
"fax_number": "337-981-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3839 W CONGRESS ST STE C",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705066000",
"telephone_number": "337-984-0403",
"fax_number": "337-981-9006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPREE",
"first_name": "GENE",
"middle_name": "O",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2016-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "LA",
"license": "2529",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1825298",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.