Individual provider Active NPI

Lawrence Blake Messina, DDS

  • General Practice Dentistry
  • Baton Rouge, LA
National Provider Identifier
1629100698
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4367 Issued in LA
Practice address
8254 One Calais Ave Ste 100
Baton Rouge, LA 70809-3450
Phone
(225) 767-2731
Fax
(225) 766-3356
NPI assigned
Mar 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4367 LA Primary

Addresses

Primary practice location

8254 One Calais Ave Ste 100
Baton Rouge, LA 70809-3450

Mailing address

10161 Barringer Foreman Rd
Baton Rouge, LA 70809-5712
Phone (225) 756-3112

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
I20160504001039 LA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9234438763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4367LAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629100698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10161 BARRINGER FOREMAN RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708095712",
            "telephone_number": "225-756-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8254 ONE CALAIS AVE STE 100",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093450",
            "telephone_number": "225-767-2731",
            "fax_number": "225-766-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSINA",
        "first_name": "LAWRENCE",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "4367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.