Active NPI
Julia Elyse Daigle, DDS
- General Practice Dentistry
- Metairie, LA
National Provider Identifier
1275108235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7180
- Practice address
- 2937 Veterans Memorial Blvd Ste C
Metairie, LA 70002-6067 - Phone
- (504) 206-3338
- NPI assigned
- May 23, 2021
- 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 | 7180 | LA | Primary |
Addresses
Primary practice location
2937 Veterans Memorial Blvd Ste C
Metairie, LA 70002-6067
Mailing address
147 Jesuit Bend Dr
Belle Chasse, LA 70037-4165
Phone (504) 722-2326
Other practice location 1
8131 Saint Charles Ave
New Orleans, LA 70118-1045
Phone (504) 304-6800
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 |
|---|---|---|---|
| 7180 | LA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacob Dent DDS. Metairie Modern Dentistry a Professional Corporation | 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 and National Provider Directory roles.
-
dba Metairie Modern Dentistry
- Dentist
- Metairie, LA
- NPI 1487106910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621728000000",
"number": "1275108235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 JESUIT BEND DR",
"city": "BELLE CHASSE",
"state": "LA",
"postal_code": "700374165",
"telephone_number": "504-722-2326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2937 VETERANS MEMORIAL BLVD STE C",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700026067",
"telephone_number": "504-206-3338"
}
],
"practiceLocations": [
{
"address_1": "8131 Saint Charles Ave",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701181045",
"country_code": "US",
"telephone_number": "504-304-6800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAIGLE",
"first_name": "JULIA",
"middle_name": "ELYSE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-23",
"last_updated": "2021-05-23",
"certification_date": "2021-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "7180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.