Organization Active NPI

John Landreneau

Doing business as Creative Dental Studio

  • General Practice Dentistry
  • Prairieville, LA
National Provider Identifier
1225712284
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JOHN LANDRENEAU
Doing business as
Creative Dental Studio
Practice address
15615 Airline Hwy
Prairieville, LA 70769-4675
Phone
(225) 677-9300
NPI assigned
Jun 12, 2023
Last updated
Jul 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Authorized official

Name
John LandreneauNPI 1457382889
Title
Owner/Dentist
Phone
(225) 677-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

15615 Airline Hwy
Prairieville, LA 70769-4675

Mailing address

15615 Airline Hwy
Prairieville, LA 70769-4675

Other names 1

  • Creative Dental Studio Doing business as

National Provider Directory

National Provider Directory

Locations

15615 Airline Hwy
Prairieville, LA 70769
Phone (225) 677-9300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1225712284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15615 AIRLINE HWY",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707694675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15615 AIRLINE HWY",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707694675",
            "telephone_number": "225-677-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN LANDRENEAU",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "LANDRENEAU",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "225-677-9300"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Creative Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prairieville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.