Individual provider Active NPI

Tara Gilpin Brindis, D.D.S.

  • General Practice Dentistry
  • Metairie, LA
National Provider Identifier
1124291919
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5967 Issued in LA
Practice address
4228 Houma Blvd Ste 210
Metairie, LA 70006-3005
Phone
(504) 883-3737
NPI assigned
Apr 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5967 LA Primary

Addresses

Primary practice location

4228 Houma Blvd Ste 210
Metairie, LA 70006-3005

Mailing address

4228 Houma Blvd Ste 210
Metairie, LA 70006-3005
Phone (504) 883-3737

Other identifiers 1

IdentifierTypeStateIssuer
1893153MedicaidLA

Other names 1

  • Tara A Gilpin Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brindis Prosthodontics, LLC CurrentSince Aug 28, 2021 Accepting new patients

Locations

4228 Houma Blvd
Ste 210
Metairie, LA 70006
Phone (504) 883-3737

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1124291919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BLVD STE 210",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700063005",
            "telephone_number": "504-883-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BLVD STE 210",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700063005",
            "telephone_number": "504-883-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINDIS",
        "first_name": "TARA",
        "middle_name": "GILPIN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-11",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1893153",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "GILPIN",
            "middle_name": "A",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.