Organization Active NPI

Louisiana Oral Surgery Center - Doctors Robert Leo Regan, Michael Char

  • Oral and Maxillofacial Surgery Clinic/Center
  • Prairieville, LA
National Provider Identifier
1427760446
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
Legal business name
LOUISIANA ORAL SURGERY CENTER - DOCTORS ROBERT LEO REGAN, MICHAEL CHAR
Doing business as
LOUISIANA ORAL SURGERY CENTER
Practice address
14169 Highway 73 Unit a
Prairieville, LA 70769-3614
Phone
(225) 766-5413
Fax
(225) 767-3275
NPI assigned
Dec 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Authorized official

Name
Mrs. Christi Wyatt
Title
Insurance Manager
Phone
(225) 766-5413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X Primary

Addresses

Primary practice location

14169 Highway 73 Unit a
Prairieville, LA 70769-3614

Mailing address

5227 Flanders Dr
Baton Rouge, LA 70808-9169
Phone (225) 766-5413

Other identifiers 2

IdentifierTypeStateIssuer
1073931929OtherNELSON NPI
6444OtherLASTATE LICENSE

Other names 1

  • LOUISIANA ORAL SURGERY CENTER Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/A Other

National Provider Directory

National Provider Directory

Locations

14169 Highway 73
Unit A
Prairieville, LA 70769
Phone (225) 766-5413

NPI Registry JSON

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1427760446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5227 FLANDERS DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708089169",
            "telephone_number": "225-766-5413",
            "fax_number": "225-767-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14169 HIGHWAY 73 UNIT A",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693614",
            "telephone_number": "225-766-5413",
            "fax_number": "225-767-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA ORAL SURGERY CENTER - DOCTORS ROBERT LEO REGAN, MICHAEL CHAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "CHRISTI",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "225-766-5413",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NELSON NPI",
            "identifier": "1073931929",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "6444",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "N/A",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "14169 Highway 73 Unit A",
            "city": "Prairieville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707693614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "LOUISIANA ORAL SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prairieville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.