Active NPI
Dwight David Landry, DDS
- General Practice Dentistry
- Harvey, LA
National Provider Identifier
1225156755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3708
- Practice address
- 3909 Lapalco Blvd
Suite 202
Harvey, LA 70058 - Phone
- (504) 347-6000
- Fax
- (504) 341-3995
- NPI assigned
- Mar 26, 2007
- Reactivated
- Sep 30, 2008
- Last updated
- Sep 30, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3708 | LA | Primary |
Addresses
Primary practice location
3909 Lapalco Blvd
Suite 202
Harvey, LA 70058
Mailing address
3909 Lapalco Blvd
Suite 202
Harvey, LA 70058
Phone (504) 347-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 4, 2016 through Nov 4, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3708 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Orleans Dental Center | General Practice | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Harvey, LA
- NPI 1629060538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222732800000",
"number": "1225156755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3909 LAPALCO BLVD",
"address_2": "SUITE 202",
"city": "HARVEY",
"state": "LA",
"postal_code": "70058",
"telephone_number": "504-347-6000",
"fax_number": "504-341-3995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3909 LAPALCO BLVD",
"address_2": "SUITE 202",
"city": "HARVEY",
"state": "LA",
"postal_code": "70058",
"telephone_number": "504-347-6000",
"fax_number": "504-341-3995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRY",
"first_name": "DWIGHT",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2008-09-30",
"deactivation_date": "2008-08-19",
"reactivation_date": "2008-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "3708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harvey, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.