Individual provider Active NPI

Wanda Birch Augillard, DDS

  • Pediatric Dentistry
  • New Orleans, LA
National Provider Identifier
1730236597
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
4607 Issued in LA
Practice address
3711 Frenchmen St
New Orleans, LA 70122-3705
Phone
(504) 947-7700
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 4607 LA Primary

Addresses

Primary practice location

3711 Frenchmen St
New Orleans, LA 70122-3705

Mailing address

3711 Frenchmen St
New Orleans, LA 70122-3705
Phone (504) 947-7700

Other identifiers 1

IdentifierTypeStateIssuer
1846074MedicaidLA

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
4607LAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Augillard Dental Group, LLC Dentist Past Accepting new patients

Organizations & group practices 1

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1730236597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 FRENCHMEN ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701223705",
            "telephone_number": "504-947-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 FRENCHMEN ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701223705",
            "telephone_number": "504-947-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGILLARD",
        "first_name": "WANDA",
        "middle_name": "BIRCH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "LA",
            "license": "4607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1846074",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.