Individual provider Active NPI

David Guidry, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lafayette, LA
National Provider Identifier
1396028643
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
6066 Issued in LA
Practice address
1506 Camellia Blvd
Lafayette, LA 70508
Phone
(337) 232-2012
Fax
(337) 541-0005
NPI assigned
Sep 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 6066 LA Primary

Addresses

Primary practice location

1506 Camellia Blvd
Lafayette, LA 70508

Mailing address

1301 Victor II Blvd
Morgan City, LA 70380-1453
Phone (985) 372-2399

Other practice location 1

923 N Eastern Ave
Crowley, LA 70526-3860
Phone (337) 783-1278

Other practice location 2

1301 Victor II Blvd
Morgan City, LA 70380-1453
Phone (985) 372-2399

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

LicenseStateTypeSpecialty
6066LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Guidry and Horaist Orthodontics LLC Orthodontics and Dentofacial Orthopedics CurrentSince Nov 5, 2023 Accepting new patients

Locations

923 N Eastern Ave
Crowley, LA 70526
Phone (337) 783-1278

1506 Camellia Blvd
Lafayette, LA 70508
Phone (337) 232-2012

1301 Victor II Blvd
Morgan City, LA 70380
Phone (985) 372-2399

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.

NPI Registry JSON

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1396028643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 VICTOR II BLVD",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801453",
            "telephone_number": "985-372-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 CAMELLIA BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-232-2012",
            "fax_number": "337-541-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "923 N Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Crowley",
            "state": "LA",
            "postal_code": "705263860",
            "country_code": "US",
            "telephone_number": "337-783-1278",
            "fax_number": "337-783-1279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Victor II Blvd",
            "address_purpose": "LOCATION",
            "city": "Morgan City",
            "state": "LA",
            "postal_code": "703801453",
            "country_code": "US",
            "telephone_number": "985-372-2399",
            "fax_number": "985-300-5959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUIDRY",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-22",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "LA",
            "license": "6066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.