Individual provider Active NPI

Silvia Brautigam-Martinez, DDS

  • Dentist
  • Prairieville, LA
National Provider Identifier
1588021778
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7037 Issued in LA
Practice address
37290 Old Perkins Rd
Prairieville, LA 70769-3764
Phone
(225) 960-5115
NPI assigned
Jan 20, 2016
Last updated
Feb 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 100125415 WI
Dentist 122300000X D0006482C1 AL
Dentist 122300000X 7037 LA Primary

Addresses

Primary practice location

37290 Old Perkins Rd
Prairieville, LA 70769-3764

Mailing address

37290 Old Perkins Rd
Prairieville, LA 70769-3764
Phone (225) 960-5115

Other practice location 1

15420 S Harrells Ferry Rd Ste C
Baton Rouge, LA 70816-2933
Phone (225) 650-7162

Other names 1

  • Dr. Silvia H Brautigam Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251111003045 LA Order and Referring Only - DentistPractitioner - Dentist 5092010314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D0006482C1ALMDDentist
7037LAMDDentist
100125415WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Quirt Family Dentistry, SC Past 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": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1588021778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37290 OLD PERKINS RD",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693764",
            "telephone_number": "225-960-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37290 OLD PERKINS RD",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693764",
            "telephone_number": "225-960-5115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15420 S Harrells Ferry Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708162933",
            "country_code": "US",
            "telephone_number": "225-650-7162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAUTIGAM-MARTINEZ",
        "first_name": "SILVIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "100125415",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "D0006482C1",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "7037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SILVIA",
            "last_name": "BRAUTIGAM",
            "middle_name": "H",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Prairieville, LA

Sources for this page

Verify at the official NPI Registry.