Active NPI
Lacy Virginia Garrett, D.M.D.
- Dentist
- New Orleans, LA
National Provider Identifier
1497918684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6237
- Practice address
- 200 Henry Clay Ave
Children'S Hospital
New Orleans, LA 70118-5720 - Phone
- (504) 899-9511
- NPI assigned
- Jul 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN013729 | GA | |
| Dentist | 122300000X | 6237 | LA | Primary |
Addresses
Primary practice location
200 Henry Clay Ave
Children'S Hospital
New Orleans, LA 70118-5720
Mailing address
1676 Jefferson Ave
New Orleans, LA 70115-4949
Phone (478) 718-7909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170714000239 | LA | Order and Referring Only - Dentist | 6901176528 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN013729 | GA | MD | Pediatric Dentist |
| 6237 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357084800000",
"number": "1497918684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1676 JEFFERSON AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701154949",
"telephone_number": "478-718-7909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HENRY CLAY AVE",
"address_2": "CHILDREN'S HOSPITAL",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701185720",
"telephone_number": "504-899-9511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRETT",
"first_name": "LACY",
"middle_name": "VIRGINIA",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-08",
"last_updated": "2013-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "GA",
"license": "DN013729",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "6237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.