Elise Marie Puissegur, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6287 Issued in LA

Practice address

201 Rue Louis Xiv
Lafayette, LA 70508-5736

Phone

(337) 984-9400

Fax

(337) 984-9401

NPI assigned

Jul 16, 2012

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Puissegur Family Dentistry LLC

  • General Practice Dentistry
  • Lafayette, LA
  • NPI 1013648245
  NPD (past) Authorized official

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342396800000",
    "number": "1164777272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 RUE LOUIS XIV",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085736",
            "telephone_number": "337-984-9400",
            "fax_number": "337-984-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RUE LOUIS XIV",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085736",
            "telephone_number": "337-984-9400",
            "fax_number": "337-984-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUISSEGUR",
        "first_name": "ELISE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PT Advancements, LLC
• PT Pros, Inc.
• Cheryl Daly Puckett, RD, LDN
• Jennifer B Pugliese, MD
• Puissegur Family Dentistry LLC
• Erick C Puissegur, PMHNP
• Michael J Puissegur, D.D.S.
• Donna Michelle Pulliam, FNP-BC
• Pulmonary and Sleep Clinic of Acadiana, LLC
• Edgar Pumarol Castillo, M.D.

• General Practice Dentistry in Lafayette, LA
• Providers in Lafayette, 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 Jul 16, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.