Active NPI
Mitou A Lemaire, DDS
- General Practice Dentistry
- Bogalusa, LA
National Provider Identifier
1245200625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5254
- Practice address
- 712 Willis Ave
Bogalusa, LA 70427-3004 - Phone
- (985) 732-5321
- Fax
- (985) 735-1884
- NPI assigned
- Jan 26, 2006
- Sex
- Female
- 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 | 5254 | LA | Primary |
Addresses
Primary practice location
712 Willis Ave
Bogalusa, LA 70427-3004
Mailing address
712 Willis Ave
Bogalusa, LA 70427-3004
Phone (985) 732-5321
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5254 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1245200625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 WILLIS AVE",
"city": "BOGALUSA",
"state": "LA",
"postal_code": "704273004",
"telephone_number": "985-732-5321",
"fax_number": "985-735-1884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 WILLIS AVE",
"city": "BOGALUSA",
"state": "LA",
"postal_code": "704273004",
"telephone_number": "985-732-5321",
"fax_number": "985-735-1884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMAIRE",
"first_name": "MITOU",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "5254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bogalusa, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.