Individual provider Active NPI

Cody Brignac, DDS

  • General Practice Dentistry
  • Kenner, LA
National Provider Identifier
1427549872
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6842 Issued in LA
Practice address
1305 W Esplanade Ave
Kenner, LA 70065-2744
Phone
(504) 469-6333
NPI assigned
May 22, 2018
Last updated
May 22, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6842 LA Primary

Addresses

Primary practice location

1305 W Esplanade Ave
Kenner, LA 70065-2744

Mailing address

4141 Bienville St Ste 105
New Orleans, LA 70119-5149
Phone (504) 900-1195

Other practice location 1

4141 Bienville St Ste 105
New Orleans, LA 70119-5149
Phone (504) 900-1195

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
6842LAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Belle Chasse Family Dentistry, LLC Current 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1427549872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 BIENVILLE ST STE 105",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195149",
            "telephone_number": "504-900-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 W ESPLANADE AVE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652744",
            "telephone_number": "504-469-6333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4141 Bienville St Ste 105",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701195149",
            "country_code": "US",
            "telephone_number": "504-900-1195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIGNAC",
        "first_name": "CODY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.