Dr. Todd S. Brasuell LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

DR. TODD S. BRASUELL LLC

Doing business as

Todd S. Brasuell DDS Pediatric Dentistry

Practice address

189 Greenbrier Blvd Ste a
Covington, LA 70433-7297

Phone

(985) 892-5942

Fax

(985) 892-8996

NPI assigned

Sep 28, 2022

Last updated

Oct 21, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Theresa Margiotta

Title

Office Manager

Phone

(985) 892-5942

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Todd S. Brasuell DDS Pediatric Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brooke Virginia Vinturella, DDS

  • Pediatric Dentistry
  • Madisonville, LA
  • NPI 1003560137
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1023732625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 GREENBRIER BLVD STE A",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337297",
            "telephone_number": "985-892-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 GREENBRIER BLVD STE A",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337297",
            "telephone_number": "985-892-5942",
            "fax_number": "985-892-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TODD S. BRASUELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-28",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "MARGIOTTA",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "985-892-5942"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1855502",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Todd S. Brasuell DDS Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Todd S. Brasuell DDS Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatric Dentistry in Covington, LA
• Providers in Covington, LA by specialty
• Pediatric Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.