Active NPI
Tyler Paul Lasseigne
- Prosthodontics
- Baton Rouge, LA
National Provider Identifier
1679776454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 5574
- Practice address
- 16645 Highland Rd Ste J
Baton Rouge, LA 70810-6567 - Phone
- (225) 214-0100
- Fax
- (225) 214-0103
- NPI assigned
- Jun 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5574 | LA | |
| Prosthodontics | 1223P0700X | 5574 | LA | Primary |
Addresses
Primary practice location
16645 Highland Rd Ste J
Baton Rouge, LA 70810-6567
Mailing address
1109 Simon St
Vacherie, LA 70090-5331
Phone (504) 416-7440
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5574 | LA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Esthetic Associates LLC | Dentist | Past | Accepting new patients |
| Country Club Dental | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Baton Rouge, LA
- NPI 1750584538
-
- General Practice Dentistry
- Baton Rouge, LA
- NPI 1003970682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447891200000",
"number": "1679776454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 SIMON ST",
"city": "VACHERIE",
"state": "LA",
"postal_code": "700905331",
"telephone_number": "504-416-7440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16645 HIGHLAND RD STE J",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708106567",
"telephone_number": "225-214-0100",
"fax_number": "225-214-0103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASSEIGNE",
"first_name": "TYLER",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-07",
"last_updated": "2015-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "5574",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "LA",
"license": "5574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.