Active NPI
Lauri Breaud Daigle, D.D.S.
- General Practice Dentistry
- Houma, LA
National Provider Identifier
1578856514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6151
- Practice address
- 5683 Highway 311
Houma, LA 70360-5595 - Phone
- (985) 868-5699
- NPI assigned
- May 24, 2011
- Last updated
- Apr 7, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6151 | LA | |
| Dentist | 122300000X | 5889 C1 | AL | |
| General Practice Dentistry | 1223G0001X | 6151 | LA | Primary |
Addresses
Primary practice location
5683 Highway 311
Houma, LA 70360-5595
Mailing address
2009 Polk St
Houma, LA 70360-6020
Phone (985) 665-1550
Other practice location 1
91 Westbank Expy Ste 345
Gretna, LA 70053
Phone (985) 665-1550
Other names 1
- Dr. Lauri Nichole Breaud
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5889 C1 | AL | MD | Dentist |
| 6151 | LA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649289600000",
"number": "1578856514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2009 POLK ST",
"city": "HOUMA",
"state": "LA",
"postal_code": "703606020",
"telephone_number": "985-665-1550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5683 HIGHWAY 311",
"city": "HOUMA",
"state": "LA",
"postal_code": "703605595",
"telephone_number": "985-868-5699"
}
],
"practiceLocations": [
{
"address_1": "91 Westbank Expy Ste 345",
"address_purpose": "LOCATION",
"city": "Gretna",
"state": "LA",
"postal_code": "70053",
"country_code": "US",
"telephone_number": "985-665-1550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAIGLE",
"first_name": "LAURI",
"middle_name": "BREAUD",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-24",
"last_updated": "2022-04-07",
"certification_date": "2022-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "6151",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "5889 C1",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "6151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURI",
"last_name": "BREAUD",
"middle_name": "NICHOLE",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Houma, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.