Jack Broussard, D.D.S

ActiveIndividual ProviderDentistry
NPI issued: June 16, 2005

Quick Facts

NPI Number
1821093832
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy1223G0001X — Dentistry
Phone
(626) 796-3161
StateCA

NPI Validation Status: Verified

Valid 10-digit NPI number (1821093832)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (June 16, 2005)
Data source: CMS NPPES

Provider Overview

JACK BROUSSARD, D.D.S is a Dentistry provider based in Pasadena, CA who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1821093832
Provider TypeIndividual Provider
GenderMale
CredentialD.D.S
StatusActive
Enumeration DateJune 16, 2005

Practice Location

CityPasadena
StateCA
ZIP Code91105-2536
Phone(626) 796-3161

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code1223G0001X
License StateCA

Mailing Address

CityPasadena
StateCA
ZIP Code91105-2536
Phone(626) 796-3161
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1821093832 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1821093832for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

👤

For Patients

Share NPI 1821093832 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
174,905
Dentistry Providers in the US

Similar Providers in Pasadena

Walter Hong, D.D.S

📍 Pasadena, MD 21122-4520

Byron Alder, D.D.S

📍 Pasadena, CA 91101-2564

Lawrence Perkins, DDS

📍 Pasadena, CA 91105-2646

Kathleen Lucas, DDS

📍 Pasadena, CA 91106-1451

Paul Shinto, D.D.S

📍 Pasadena, CA 91105-2536

Jimmy Moon, D.D.S

📍 Pasadena, TX 77502-3375

Other Healthcare Providers in Pasadena

David Gelber, MD

General Surgery

Chess Miles, D.C

Chiropractic

Horizon Pasadena Llc

Specialty not listed

Vista Continuing Care Center Inc

Specialty not listed

Robert-jayson Communications

Audiologist

Robert Weissman, AU.D

Audiologist

People Also Ask

What is Jack Broussard's NPI number?
Jack Broussard's NPI number is 1821093832, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jack Broussard's NPI currently active?
Yes, Jack Broussard's NPI status is Active as of the latest CMS NPPES database updates.
What does Jack Broussard specialize in?
Jack Broussard specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 1223G0001X.
Where does Jack Broussard practice?
Jack Broussard practices in Pasadena, CA 91105-2536.
When was Jack Broussard's NPI issued?
Jack Broussard's NPI was issued on June 16, 2005.
What is Jack Broussard's provider type?
Jack Broussard is registered as an Individual Provider under CMS NPI Type 1.