NPIMap

Organization Active NPI

Roundtree Family Dentistry

  • Dentist
  • Thibodaux, LA
National Provider Identifier
1639612641
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6023 Issued in LA
Legal business name
ROUNDTREE FAMILY DENTISTRY
Practice address
120 Rue Colette
Thibodaux, LA 70301
Phone
(985) 446-8821
Fax
(985) 447-7420
NPI assigned
Nov 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Authorized official

Name
Dr. Brian Michael Roundtree, D.D.SNPI 1205158953
Title
Owner
Phone
(985) 446-8821

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 6023 LA Primary

Addresses

Primary practice location

120 Rue Colette
Thibodaux, LA 70301

Mailing address

120 Rue Colette
Thibodaux, LA 70301
Phone (985) 446-8821

Other practice location 1

705 Plantation Rd
Thibodaux, LA 70301-4303
Phone (985) 446-8821

National Provider Directory

National Provider Directory

Locations

120 Rue Colette
Thibodaux, LA 70301
Phone (985) 446-8821

705 Plantation Rd
Thibodaux, LA 70301
Phone (985) 446-8821

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1639612641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 RUE COLETTE",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "70301",
            "telephone_number": "985-446-8821",
            "fax_number": "985-447-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 RUE COLETTE",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "70301",
            "telephone_number": "985-446-8821",
            "fax_number": "985-447-7420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 Plantation Rd",
            "address_purpose": "LOCATION",
            "city": "Thibodaux",
            "state": "LA",
            "postal_code": "703014303",
            "country_code": "US",
            "telephone_number": "985-446-8821",
            "fax_number": "985-447-7420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROUNDTREE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "ROUNDTREE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-446-8821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "LA",
            "license": "6023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.