NPIMap

Organization Active NPI

Lacour Dental Associates

  • Dentist
  • Baton Rouge, LA
National Provider Identifier
1366829673
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5037 Issued in LA
Legal business name
LACOUR DENTAL ASSOCIATES
Practice address
719 E Airport Ave
#A
Baton Rouge, LA 70806-6558
Phone
(225) 924-3369
Fax
(225) 924-3387
NPI assigned
May 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Authorized official

Name
Dr. Chad A Lacour, DDS
Title
Doctor
Phone
(225) 757-8450

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 5037 LA Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 2798 LA

Addresses

Primary practice location

719 E Airport Ave
#A
Baton Rouge, LA 70806-6558

Mailing address

719 E Airport Ave
#A
Baton Rouge, LA 70806-6558
Phone (225) 924-3369

Other identifiers 1

IdentifierTypeStateIssuer
29635MedicaidLA

National Provider Directory

National Provider Directory

Locations

719 E Airport Ave
Ste A
Baton Rouge, LA 70806
Phone (225) 924-3369

Practitioners & affiliated clinicians

Practitioners 2

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": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1366829673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 E AIRPORT AVE",
            "address_2": "#A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066558",
            "telephone_number": "225-924-3369",
            "fax_number": "225-924-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 E AIRPORT AVE",
            "address_2": "#A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066558",
            "telephone_number": "225-924-3369",
            "fax_number": "225-924-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACOUR DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "LACOUR",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "225-757-8450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "LA",
            "license": "5037",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "LA",
            "license": "2798",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29635",
            "state": "LA"
        }
    ],
    "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 May 6, 2015; 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.