Individual provider Active NPI

Angelle Budenski

  • Dentist
  • Prairieville, LA
National Provider Identifier
1053050856
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7301 Issued in LA
Practice address
37341 Perkins Rd
Prairieville, LA 70769-3720
Phone
(225) 230-8090
NPI assigned
May 31, 2022
Last updated
Sep 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7301 LA Primary

Addresses

Primary practice location

37341 Perkins Rd
Prairieville, LA 70769-3720

Mailing address

37341 Perkins Rd
Prairieville, LA 70769-3720
Phone (225) 751-8967

Other practice location 1

13317 Highway 44
Gonzales, LA 70737-6816
Phone (225) 644-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7301LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Dinh Dental LLC CurrentSince Mar 31, 2024 Accepting new patients
Lam Dentistry PastSince Sep 10, 2023 Accepting new patients
Jacob Dent, DDS Juban Crossing Modern Dentistry a Professional Corpora Dentist PastSince Oct 1, 2022 Accepting new patients
Lamendola Dentistry Dentist Past Accepting new patients

Locations

37341 Perkins Rd
Prairieville, LA 70769
Phone (225) 230-8090

Networks

  • LA PPO C-SNP

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1053050856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37341 PERKINS RD",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693720",
            "telephone_number": "225-751-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37341 PERKINS RD",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693720",
            "telephone_number": "225-230-8090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13317 Highway 44",
            "address_purpose": "LOCATION",
            "city": "Gonzales",
            "state": "LA",
            "postal_code": "707376816",
            "country_code": "US",
            "telephone_number": "225-644-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUDENSKI",
        "first_name": "ANGELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "7301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairieville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.