Anita J Gouri, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

5755 Issued in LA

Practice address

1512 Camellia Blvd
Lafayette, LA 70508

Phone

(337) 443-9944

Fax

(337) 981-7505

NPI assigned

Oct 1, 2008

Last updated

Jul 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Anita Jayagopal Gouri Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Anita J Gouri DDS LLC

  dba Lafayette Pediatric Dentistry

  • Pediatric Dentistry
  • Lafayette, LA
  • NPI 1386182418
  NPD Authorized official
• Craig S Landry DDS a Prof Dental Corp

  • Customized Equipment (DME)
  • Lafayette, LA
  • NPI 1740780584
  NPD (past)

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1437300134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 CAMELLIA BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-443-9944",
            "fax_number": "337-981-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 CAMELLIA BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-443-9944",
            "fax_number": "337-981-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOURI",
        "first_name": "ANITA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "LA",
            "license": "5755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITA",
            "last_name": "GOURI",
            "middle_name": "JAYAGOPAL",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ladaisha Gotch
• Mallory Tranaee Gothe
• Ashish Mavjibhai Goti, M.D.
• Shiho Goto, ATC
• Bryan Gottshall
• Grace Counseling and Wellness LLC
• Grace Gynecology & Wellness Corp Apmc
• Grace Hospice and Palliative Care, LLC
• Grace Palliative Care LLC (Home with Grace)
• David Michael Grace, M.D.

• Pediatric Dentistry in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Pediatric Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.