Organization Active NPI

Lakeside Dental Associates, Inc.

  • Dentist
  • Metairie, LA
National Provider Identifier
1720107295
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LAKESIDE DENTAL ASSOCIATES, INC.
Practice address
3301 Veterans Memorial Blvd
Suite 203
Metairie, LA 70002-8447
Phone
(504) 887-6453
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph Robert Lacoste Jr., DDS
Title
Owner
Phone
(985) 345-0240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3301 Veterans Memorial Blvd
Suite 203
Metairie, LA 70002-8447

Mailing address

3301 Veterans Memorial Blvd
Suite 203
Metairie, LA 70002-8447
Phone (504) 887-6453

Other names 1

  • LOUISIANA DENTAL CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

1501 32nd St
Kenner, LA 70065
Phone (504) 275-6422

3301 Veterans Memorial Blvd
Ste 203
Metairie, LA 70002
Phone (504) 833-6825

3004 Gentilly Blvd
New Orleans, LA 70122
Phone (504) 435-1800

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720107295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 VETERANS MEMORIAL BLVD",
            "address_2": "SUITE 203",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700028447",
            "telephone_number": "504-887-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 VETERANS MEMORIAL BLVD",
            "address_2": "SUITE 203",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700028447",
            "telephone_number": "504-887-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE DENTAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LACOSTE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-345-0240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOUISIANA DENTAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.