Dillian Matthew Theriot, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7452 Issued in LA

Practice address

5201 Veterans Memorial Blvd Ste a
Metairie, LA 70006-5122

Phone

(504) 273-7156

NPI assigned

Apr 27, 2023

Last updated

May 20, 2024By 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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jacob Dent DDS Dentists of Metairie a Professional Corporation

  dba Dentists of Metairie

  • Dentist
  • Metairie, LA
  • NPI 1447896105
  NPD

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1184312142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 SAINT ANN ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701163013",
            "telephone_number": "337-356-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 VETERANS MEMORIAL BLVD STE A",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700065122",
            "telephone_number": "504-273-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THERIOT",
        "first_name": "DILLIAN",
        "middle_name": "MATTHEW",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-27",
        "last_updated": "2024-05-20",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "7452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Young Men's Christian Association of Greater New Orleans, la
• Therapeutic Alliance Nola LLC
• Therapeutic Learning Center
• Therapy FX, LLC
• Therapydia, Inc.
• Elizabeth Marston Theriot, M.D.
• Mallory Leah Theriot, RDN, LDN
• Margaret Theriot, DNP, FNP-C
• Ryan M Thibodaux, D.D.S.
• Tara Thibodaux, PLMFT

• General Practice Dentistry in Metairie, LA
• Providers in Metairie, 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 May 20, 2024; 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.