Angelle Trahan Saloom, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6169 Issued in LA

Practice address

102 Genevieve Dr
Lafayette, LA 70503-4811

Phone

(337) 981-6882

Fax

(337) 991-0542

NPI assigned

Jun 14, 2011

Last updated

Sep 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Saloom Family Dentistry, LLC

  • Dental Clinic/Center
  • Lafayette, LA
  • NPI 1972368728
  NPD
• Dale M Trahan DDS LLC

  • Dentist
  • Lafayette, LA
  • NPI 1043393697
  NPD (past)

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1710272190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 GENEVIEVE DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705034811",
            "telephone_number": "337-981-6882",
            "fax_number": "337-991-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 GENEVIEVE DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705034811",
            "telephone_number": "337-981-6882",
            "fax_number": "337-991-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAHAN SALOOM",
        "first_name": "ANGELLE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Anne Townsend
• Mary E. Towry, LOTR
• John McCreary Tracy, PH.D.
• Traditions Hospice of Lafayette, LLC (Traditions Health)
• Trahan Mental Health Services LLC
• Christian Trahan
• Cydney Trahan
• Dale M. Trahan, DDS, LLC
• Grace Trahan
• Jayme Trahan, M.D.

• Dentist in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.