Active NPI
Lacey Galliano, D.D.S.
- Dentist
- Baton Rouge, LA
National Provider Identifier
1063038529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7094
- Practice address
- 2915 S Sherwood Forest Blvd
Baton Rouge, LA 70816-5700 - Phone
- (225) 296-0212
- NPI assigned
- Jun 21, 2020
- Last updated
- Jun 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7094 | LA | Primary |
Addresses
Primary practice location
2915 S Sherwood Forest Blvd
Baton Rouge, LA 70816-5700
Mailing address
17845 E Augusta Dr
Baton Rouge, LA 70810-5922
Phone (225) 572-5890
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7094 | LA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592784000000",
"number": "1063038529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17845 E AUGUSTA DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708105922",
"telephone_number": "225-572-5890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2915 S SHERWOOD FOREST BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708165700",
"telephone_number": "225-296-0212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLIANO",
"first_name": "LACEY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-21",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "7094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.