RAE A. GAUTHIER, DDS, LLC DBA PONCHATOULA FAMILY DENTISTRY
NPI 1215446521
Clinic/Center - Dental in Ponchatoula, LA

NPI Status: Active since September 29, 2017

Contact Information

430 E PINE ST
PONCHATOULA, LA
ZIP 70454
Phone: (985) 687-3806
Fax: (985) 386-8467

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  • Organization
  • Clinic/Center
  • Dental

About RAE A. GAUTHIER, DDS, LLC DBA PONCHATOULA FAMILY DENTISTRY

This page provides the complete NPI Profile along with additional information for Rae A. Gauthier, Dds, Llc Dba Ponchatoula Family Dentistry, a provider established in Ponchatoula, Louisiana operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1215446521 assigned on September 2017. The practitioner's primary taxonomy code is 261QD0000X with license number 5909 (LA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Rae Ann Gauthier Dds (Owner/dentist)

NPI
1215446521
Provider Name
RAE A. GAUTHIER, DDS, LLC DBA PONCHATOULA FAMILY DENTISTRY
Entity Type
Organization
Location Address
430 E PINE ST PONCHATOULA, LA 70454
Location Phone
(985) 687-3806
Location Fax
(985) 386-8467
Mailing Address
430 E PINE ST PONCHATOULA, LA 70454
Mailing Phone
(985) 687-3806
Mailing Fax
(985) 386-8467
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-29-2017
Last Update Date
07-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
5909
License State
LA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RAE ANN GAUTHIER DDS

Authorized Official Title
OWNER/DENTIST
Authorized Official Phone
(985) 386-8454

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1859095MEDICAID (05)LA 

Reviews for RAE A. GAUTHIER, DDS, LLC DBA PONCHATOULA FAMILY DENTISTRY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215446521
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2225841254
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 8 + 4 + 1 + 2 + 5 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1215446521 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750879854DR. DOUGLAS M GEORGE DDS
Individual
Dentist (General Practice)430 E PINE ST
PONCHATOULA, LA 70454
(985) 386-8454
1154901668DOUGLAS M GEORGE DDS LLC
Organization
Clinic/Center (Dental)430 E PINE ST
PONCHATOULA, LA 70454
(318) 348-4795

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215446521, enumerated in the NPI registry as an "organization" on September 29, 2017

The provider is located at 430 E Pine St Ponchatoula, La 70454 and the phone number is (985) 687-3806

This medical organization specializes in Clinic/Center with taxonomy code 261QD0000X with a focus in Dental

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 29, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.