Dale M Trahan DDS LLC

Primary specialty

DentistTaxonomy code 122300000X

License

3209 Issued in LA

Legal business name

DALE M TRAHAN DDS LLC

Practice address

102 Genevieve Dr
Lafayette, LA 70503

Phone

(337) 981-6882

Fax

(337) 991-0542

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Cherelle R Lee

Title

Office Manager

Phone

(337) 981-6882

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth E. Morgan, DDS,LLC

  • Dentist
  • Lafayette, LA
  • NPI 1013199793
  NPD (past)
• Angelle Trahan Saloom, DDS

  • Dentist
  • Lafayette, LA
  • NPI 1710272190
  NPD (past)
• Dale M. Trahan, DDS, LLC

  • Dentist
  • Lafayette, LA
  • NPI 1235311929
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043393697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 GENEVIEVE DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70503",
            "telephone_number": "337-981-6882",
            "fax_number": "337-991-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 GENEVIEVE DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70503",
            "telephone_number": "337-981-6882",
            "fax_number": "337-991-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE M TRAHAN DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHERELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "337-981-6882",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "LA",
            "license": "3209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "427647",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1832090",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "4065755",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA",
            "identifier": "TRZQD354",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Nicole Daigle
• Timothy Alcee' Daigle, P.T.
• Wayne Paul Daigle, MD
• John Creighter Daire, DDS
• Geeta N Dalal, M.D.
• Lindsey Poche Dalton, MS, CCC-SLP
• Daly Chiropractic & Wellness Center, LLC
• David D Daly Jr., MD
• Haily Lazarone Daly, FNP
• Michel Daly, FNP-C

• Dentist in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.