Organization Active NPI

Michele Lavergne DDS

  • General Practice Dentistry
  • Carencro, LA
National Provider Identifier
1407970189
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MICHELE LAVERGNE DDS
Practice address
4306 N University Ave
Carencro, LA 70520-3904
Phone
(337) 896-3062
Fax
(337) 896-3014
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michele Lavergne, DDSNPI 1184135279
Title
Dentist
Phone
(337) 896-3062

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4306 N University Ave
Carencro, LA 70520-3904

Mailing address

4306 N University Ave
Carencro, LA 70520-3904
Phone (337) 896-3062

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407970189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 N UNIVERSITY AVE",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705203904",
            "telephone_number": "337-896-3062",
            "fax_number": "337-896-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 N UNIVERSITY AVE",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705203904",
            "telephone_number": "337-896-3062",
            "fax_number": "337-896-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE LAVERGNE DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAVERGNE",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "337-896-3062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carencro, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.