Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Jack S Broussard Jr., D.D.S.

General Practice Dentistry in Pasadena, CA · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1821093832

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Registry record

Entity type Individual (Type 1)

Name Dr. Jack S Broussard Jr.

Credential D.D.S.

Sex Male

Practice address Pasadena, CA, 91105

Phone (626) 796-3161

Fax (626) 796-6760

Enumeration date Jun 16, 2005

Last updated in NPPES Oct 25, 2007

Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

1223G0001X General Practice Dentistry Dental Providers · License DN26040 (CA) Primary

DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Jack Broussard's NPI record?

Cross-check NPI 1821093832 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1821093832 active?

Yes — as of the latest NPPES snapshot, NPI 1821093832 is active (record last updated 2007-10-25).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-25.