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JOHN RODDENBERRY JR. DPM
NPI 1871279448
Student in an Organized Health Care Education/Training Program in Metairie, LA

Active since June 27, 2023
4200 HOUMA BLVD, METAIRIE, LA 70006(941) 779-6299 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John Roddenberry Jr. Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN RODDENBERRY JR. DPM (NPI 1871279448) is an individual student in an organized health care education/training program in Metairie, Louisiana, licensed in Louisiana (337238) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1871279448
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOHN RODDENBERRY JR.Credential: DPM
Location Address4200 HOUMA BLVDMetairie, LA 70006-2970
Mailing Address124 Labarre Dr Apt BMetairie, LA 70001-5433
Phone(941) 779-6299
Sole ProprietorNo
Enumeration DateJune 27, 2023
NPPES CertifiedJune 27, 2023
✔ NPI 1871279448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in LA · 337238
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4200 HOUMA BLVD, Metairie, LA 70006
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RADIOLOGY & INTERVENTIONAL ASSOCIATES OF METAIRIE LLC
Radiology (Diagnostic Radiology)
4200 HOUMA BLVD
METAIRIE, LA 70006
Jefferson Parish (504) 454-4133
RICHARD DOUGLAS DEMOSS MD
Pathology (Anatomic Pathology)
4200 HOUMA BLVD
METAIRIE, LA 70006
Jefferson Parish (504) 545-5683
UNIVERSITY HEALTHCARE SYSTEM, L.C.
Ambulance
4200 HOUMA BLVD
METAIRIE, LA 70006
Jefferson Parish (504) 503-7152
RACHEL DEMAHY APRN, FNP
Nurse Practitioner (Family)
4200 HOUMA BLVD
METAIRIE, LA 70006
Jefferson Parish (504) 503-5190
JAY GONG MD
Student in an Organized Health Care Education/Training Program
4200 HOUMA BLVD
METAIRIE, LA 70006
Jefferson Parish (504) 503-4000
DR. IVAN SHERMAN M.D.
Emergency Medicine (Emergency Medical Services)
4200 HOUMA BLVD, EMERGENCY ROOM
METARIE, LA 70006
Jefferson Parish (504) 456-5428
LANCE R MORELLO
Nurse Anesthetist, Certified Registered
4200 HOUMA BLVD
METAIRIE, LA 70006
Jefferson Parish (504) 454-4000
MR. TRAVIS WILLIAM HILL MD
Emergency Medicine
4200 HOUMA BLVD
METAIRIE, LA 70006
Jefferson Parish (504) 503-5684

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Roddenberry's NPI number?

The NPI number for John Roddenberry is 1871279448. It was assigned to this individual provider in the NPPES registry on June 27, 2023.

Where is John Roddenberry located?

John Roddenberry practices at 4200 Houma Blvd, Metairie, LA 70006. The listed phone number is (941) 779-6299.

What is John Roddenberry's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for John Roddenberry was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.