Individual provider Active NPI

Tyler Paul Lasseigne

  • Prosthodontics
  • Baton Rouge, LA
National Provider Identifier
1679776454
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
5574 Issued in LA
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

Updated by the provider on Nov 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
5574LAMDDentist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.