Doctors Robert Leo Regan, Michael Charles Casadaban and David a Bulot

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

DOCTORS ROBERT LEO REGAN, MICHAEL CHARLES CASADABAN AND DAVID A BULOT

Practice address

14169 Highway 73 Unit a
Prairieville, LA 70769-3614

Phone

(225) 766-5413

NPI assigned

Mar 24, 2021

Organization subpart

No

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

Authorized official

Name

Christi Wyatt

Title

Insurance Manager

Phone

(225) 766-5413

Specialties & licenses 1

Addresses

Other names 1

• Fusion Implant Center Doing business as

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1033796362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5227 FLANDERS DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708089169",
            "telephone_number": "225-769-3600",
            "fax_number": "225-767-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14169 HIGHWAY 73 UNIT A",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693614",
            "telephone_number": "225-766-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS ROBERT LEO REGAN, MICHAEL CHARLES CASADABAN AND DAVID A BULOT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "CHRISTI",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "225-766-5413"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fusion Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diamond Nutrition Consultants
• Elier Diaz, M.D.
• Richanqua J Dickerson
• Jared Diggs
• Dinh Dental LLC
• Kajandre Domino
• Lauren Elizabeth Dougherty, PA-C
• Caroline Marie Dozert, NURSE PRACTITIONER
• Mandie Driver, DDS
• Berkley Michelle Dronett

• Oral & Maxillofacial Surgery (D.M.D.) in Prairieville, LA
• Providers in Prairieville, LA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.