Trace Allen Bennett, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7702 Issued in LA

Practice address

314 N Franklin St
Bastrop, LA 71220-3846

Phone

(318) 281-6167

Fax

(318) 281-6161

NPI assigned

Jun 12, 2025

Last updated

Oct 9, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

West Virginia University School of Dentistry, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• LA PPO C-SNP

Interoperability endpoints

• Direct secure messaging: trace.bennett.1@11502.direct.athenahealth.com

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.

• Morehouse Community Medical Centers, Inc.

  dba CommuniHealth Services

  • Family Medicine Physician
  • Bastrop, LA
  • NPI 1053373191
  Medicare reassignment NPD
• Morehouse Community Medical Centers, Inc

  dba CommuniHealth Services West Monroe High School Based Health Center

  • Federally Qualified Health Center (FQHC)
  • West Monroe, LA
  • NPI 1134509649
  NPD
• Morehouse Community Medical Centers, Inc.

  dba CommuniHealth Services Miller Roy Clinic

  • Federally Qualified Health Center (FQHC)
  • Monroe, LA
  • NPI 1114740438
  NPD

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1073408613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 792",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712210792",
            "telephone_number": "318-281-6167",
            "fax_number": "318-281-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 N FRANKLIN ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712203846",
            "telephone_number": "318-281-6167",
            "fax_number": "318-281-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "TRACE",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "7702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayou Home Bureau
• Bayou Home Bureau Corp
• Bayou Home Bureau Corporation
• Bayou II
• Bayou Roadrunners
• Berachah Valley Corporation
• Berachah Valley Corporation
• Bethea and McNeal Behavioral Health Center LLC
• Marjorie Bethea
• Better Day Advocates, LLC

• General Practice Dentistry in Bastrop, LA
• Providers in Bastrop, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.