Individual provider Active NPI

Sydney Lahasky Duvall, DDS

  • Dentist
  • Zachary, LA
National Provider Identifier
1134744782
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7067 Issued in LA
Practice address
4455 Ridgeway St
Zachary, LA 70791-3961
Phone
(225) 654-5500
NPI assigned
Jun 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7067 LA Primary

Addresses

Primary practice location

4455 Ridgeway St
Zachary, LA 70791-3961

Mailing address

4455 Ridgeway St
Zachary, LA 70791-3961
Phone (337) 967-6235

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
7067LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
E Edward Hood Jr DDS Zachary-Ridgeway LLC CurrentSince Apr 14, 2024 Accepting new patients
Ferrara Family Dentistry LLC PastSince Aug 7, 2022 Accepting new patients

Locations

4455 Ridgeway St
Zachary, LA 70791
Phone (225) 230-3510

Organizations & group practices 2

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": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1134744782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 RIDGEWAY ST",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707913961",
            "telephone_number": "337-967-6235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 RIDGEWAY ST",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707913961",
            "telephone_number": "225-654-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVALL",
        "first_name": "SYDNEY",
        "middle_name": "LAHASKY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "7067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zachary, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.