Individual provider Active NPI

Lamprini Leotsakou

  • Prosthodontics
  • Lafayette, LA
National Provider Identifier
1609602390
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
7620 Issued in LA
Practice address
4243 Ambassador Caffery Pkwy Ste 118
Lafayette, LA 70508-7268
Phone
(337) 422-3587
NPI assigned
Sep 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 7620 LA Primary

Addresses

Primary practice location

4243 Ambassador Caffery Pkwy Ste 118
Lafayette, LA 70508-7268

Mailing address

216 Croft Row
Lafayette, LA 70503-6080
Phone (224) 875-5046

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
I20250813003307 LA Order and Referring Only - DentistPractitioner - Dentist 0244738664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7620LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jacob Dent, DDS Lafayette Modern Dentistry, a Professional Corporation PastSince Sep 15, 2024 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1609602390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 CROFT ROW",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705036080",
            "telephone_number": "224-875-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4243 AMBASSADOR CAFFERY PKWY STE 118",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087268",
            "telephone_number": "337-422-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEOTSAKOU",
        "first_name": "LAMPRINI",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "LA",
            "license": "7620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.