Individual provider Active NPI

Dakota David Laseter, DDS

  • General Practice Dentistry
  • Mandeville, LA
National Provider Identifier
1740974682
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7462 Issued in LA
Practice address
3421 E Causeway Approach Unit a
Mandeville, LA 70448-3447
Phone
(985) 746-1629
NPI assigned
Jun 5, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7462 LA Primary

Addresses

Primary practice location

3421 E Causeway Approach Unit a
Mandeville, LA 70448-3447

Mailing address

118 Chantilly LN
Slidell, LA 70458-1614
Phone (479) 857-0225

Other practice location 1

14640 Village Market St
Baton Rouge, LA 70817-7695
Phone (225) 407-4429

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230717001663 LA Order and Referring Only - DentistPractitioner - Dentist 8820458276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7462LAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1740974682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CHANTILLY LN",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704581614",
            "telephone_number": "479-857-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 E CAUSEWAY APPROACH UNIT A",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704483447",
            "telephone_number": "985-746-1629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14640 Village Market St",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708177695",
            "country_code": "US",
            "telephone_number": "225-407-4429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LASETER",
        "first_name": "DAKOTA",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "7462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

Verify at the official NPI Registry.