Organization Active NPI

W Trent Massengale, MD LLC

  • Dermatology Physician
  • Prairieville, LA
National Provider Identifier
1255774287
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
W TRENT MASSENGALE, MD LLC
Practice address
14151 Highway 73
Prairieville, LA 70769-3626
Phone
(225) 313-4560
Fax
(225) 673-3069
NPI assigned
Apr 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
William T Massengale, M.D.NPI 1952398893
Title
Dermatologist
Phone
(225) 769-7546

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
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

14151 Highway 73
Prairieville, LA 70769-3626

Mailing address

14151 Highway 73
Prairieville, LA 70769-3626
Phone (225) 313-4560

Other practice location 1

6411 Perkins Rd
Baton Rouge, LA 70808-4125
Phone (225) 313-4560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130621000422 LA Part B Supplier - Clinic/Group Practice 3173762283 Receives reassigned benefits from 7 practitioners
Practice locations: Prairieville, LA

National Provider Directory

National Provider Directory

Locations

163 Burgin Ave
Baton Rouge, LA 70808
Phone (225) 313-4560

6411 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 221-9599

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1255774287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14151 HIGHWAY 73",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693626",
            "telephone_number": "225-313-4560",
            "fax_number": "225-673-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14151 HIGHWAY 73",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693626",
            "telephone_number": "225-313-4560",
            "fax_number": "225-673-3069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6411 Perkins Rd",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708084125",
            "country_code": "US",
            "telephone_number": "225-313-4560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "W TRENT MASSENGALE, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "MASSENGALE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "225-769-7546",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.