Individual provider Active NPI

Heather Nicole Boyette, DDS

  • General Practice Dentistry
  • Covington, LA
National Provider Identifier
1669733390
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7659 Issued in LA
Practice address
6061 Pinnacle Pkwy
Covington, LA 70433-9193
Phone
(985) 327-6501
Fax
(985) 327-6506
NPI assigned
May 29, 2012
Reactivated
Jul 21, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA4741 MS
General Practice Dentistry 1223G0001X 7659 LA Primary

Addresses

Primary practice location

6061 Pinnacle Pkwy
Covington, LA 70433-9193

Mailing address

6061 Pinnacle Pkwy
Covington, LA 70433-9193
Phone (985) 327-6501

Other names 1

  • Heather Nicole Delasalle Former name

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

LicenseStateTypeSpecialty
PTA4741MSMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1669733390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6061 PINNACLE PKWY",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704339193",
            "telephone_number": "985-327-6501",
            "fax_number": "985-327-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6061 PINNACLE PKWY",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704339193",
            "telephone_number": "985-327-6501",
            "fax_number": "985-327-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYETTE",
        "first_name": "HEATHER",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "deactivation_date": "2025-05-29",
        "reactivation_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MS",
            "license": "PTA4741",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "7659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "DELASALLE",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.