Individual provider Active NPI

Gene O Dupree, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Lafayette, LA
National Provider Identifier
1992720650
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2529 Issued in LA
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

Updated by the provider on Jul 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1825298MedicaidLA

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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
2529LAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Clay Chandler DDS MD & Brian Kelley DDS MD Apc Oral and Maxillofacial Surgery PastSince Jul 1, 1966 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.

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

Verify at the official NPI Registry.