Active NPI
Michelle B Speier, DDS
- Endodontics
- Baton Rouge, LA
National Provider Identifier
1295028751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 6634-015
- Practice address
- 11906 Lake Estates Ave
Baton Rouge, LA 70810-7320 - Phone
- (225) 757-8835
- NPI assigned
- May 17, 2011
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 6634-015 | WI | Primary |
Addresses
Primary practice location
11906 Lake Estates Ave
Baton Rouge, LA 70810-7320
Mailing address
11906 Lake Estates Ave
Baton Rouge, LA 70810-7320
Phone (225) 757-8835
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 |
|---|---|---|---|
| 6634-015 | WI | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315526400000",
"number": "1295028751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11906 LAKE ESTATES AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708107320",
"telephone_number": "225-757-8835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11906 LAKE ESTATES AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708107320",
"telephone_number": "225-757-8835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEIER",
"first_name": "MICHELLE",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-17",
"last_updated": "2011-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "WI",
"license": "6634-015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.