JOHN OCTAVE CLOTWORTHY (NPI# 1972756963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972756963 |
| Entity Type | Individual |
| Full Name | JOHN OCTAVE CLOTWORTHY |
| Credential | D.D.S. |
| Practice Address |
1014 Veterans Blvd Metairie LA 70005 |
| Mailing Address |
1014 Veterans Blvd. Metairie LA 70005 |
| Practice Telephone | 5048334361 |
| Practice Fax Number | 5048334364 |
| Mailing Telephone | 5048334361 |
| Mailing Fax Number | 5048334364 |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2008-11-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
2634 | LA | Dental Providers |
| Street Address |
1014 VETERANS BLVD |
| City | METAIRIE |
| State | LA |
| Zip Code | 70005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548793581 | Amber Alia Trepagnier | Counselor | 701 Papworth Ave Ste 209, Metairie, LA 70005 | 2017-04-06 |
| 1912386640 | Nola, Pride-wfh LLC | Community/Behavioral Health | 700 Phosphor Ave, Suite C, Metairie, LA 70005 | 2015-05-27 |
| 1952731705 | Doctors Dental 06, LLC | Clinic/Center | 730 Veterans Blvd Suite B, Metairie, LA 70005 | 2013-11-14 |
| 1740613827 | Lawrence Garvey Bole | Internal Medicine | 400 Rue St Ann, Unit 214, Metairie, LA 70005 | 2013-08-13 |
| 1295172880 | Shirer Counseling Services | Counselor | 707 Papworth Ave., Ste. 202, Metairie, LA 70005 | 2013-05-23 |
| 1841573599 | Linda Keys | Pharmacist | 1107 Veterans Blvd, Metairie, LA 70005 | 2011-09-20 |
| 1780987909 | Kenneth Mcleod Jr. | Internal Medicine | 351 Elmeer Ave, Metairie, LA 70005 | 2010-12-09 |
| 1972804615 | Courtney Theriot Scala | Counselor | 1312 Aris Ave, Metairie, LA 70005 | 2010-11-11 |
| 1528378031 | Robert Fleming Azar | Ophthalmology | 400 Old Hammond Hwy, Suite 6-a, Metairie, LA 70005 | 2010-10-18 |
| 1881909042 | Fidelity Behavioral Health Services, LLC | Community/Behavioral Health | 700 Papworth Ave, Metairie, LA 70005 | 2010-08-12 |
| Find all providers in zip 70005 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598184871 | Jessica Brown Ulmer | Dentist | 4429 Chastant St, Metairie, LA 70006-2053 | 2014-04-15 |
| 1255568549 | Devereux and Nguyen LLC | Dentist | 3330 Kingman Street, Suite 1, Metairie, LA 70006 | 2009-06-15 |
| 1619096344 | David Carl Degenova | Dentist | 3333 Kingman St Ste 200, Metairie, LA 70006-4236 | 2007-03-27 |
| 1275660037 | Allan Eustis Querens Jr. | Dentist | 3320 N Hullen St Ste A, Metairie, LA 70002-3492 | 2007-02-28 |
| 1023144904 | George P Marse Jr. | Dentist | 4408 Trenton St, Suite C, Metairie, LA 70006-6549 | 2007-02-26 |
| 1366590713 | Clayton J Charbonnet Jr. | Dentist | 5036 Yale St, Ste 301, Metairie, LA 70006-3980 | 2007-01-08 |
| 1487164067 | Silja Leticia Furche | Dentist | 2222 Clearview Pkwy, Metairie, LA 70001-2437 | 2017-10-09 |
| 1124554829 | Celeste Anastasia Block | Dentist | 701 Metairie Rd, Suite 1a-204, Metairie, LA 70005-4050 | 2017-05-02 |
| 1851740534 | Orthodontic Care of Carolina, Pa | Dentist | 3850 N Causeway Blvd, Suite 800, Metairie, LA 70002-1752 | 2016-06-03 |
| 1366806820 | Devereux and Nguyen | Dentist | 2201 Veterans Blvd., Suite 306, Metairie, LA 70002 | 2016-04-11 |
| Find all providers in METAIRIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.