Active NPI
Lourdes C Brizard, DMD
- Dentist
- Portage, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901602028
- Practice address
- 5200 S Westnedge Ave
Portage, MI 49002-0405 - Phone
- (269) 382-6656
- NPI assigned
- Apr 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN27599 | FL | |
| Dentist | 122300000X | 2901602028 | MI | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
5200 S Westnedge Ave
Portage, MI 49002-0405
Mailing address
86 SW 8TH St Unit 2407
Miami, FL 33130-3795
Phone (786) 314-3863
Other practice location 1
3401 S Congress Ave Ste 206
Palm Springs, FL 33461-3066
Phone (561) 366-2222
Other practice location 2
2950 SW 8th St
Miami, FL 33135-2827
Phone (305) 456-9417
Other practice location 3
4919 Sheridan St Ste 50
Hollywood, FL 33021-2823
Phone (954) 510-9898
Other practice location 4
4410 W 16th Ave Ste 52
Hialeah, FL 33012-7193
Phone (305) 825-9899
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN27599 | FL | MD | Dentist |
| 2901602028 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Children'S Dentistry, P.a. | Past | Accepting new patients | |
| Dental Dreams PLLC | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
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.
-
- General Practice Dentistry
- Portage, MI
- NPI 1093122756
-
- Pediatric Dentistry
- Hialeah, FL
- NPI 1972854149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758153600000",
"number": "1760124754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 SW 8TH ST UNIT 2407",
"city": "MIAMI",
"state": "FL",
"postal_code": "331303795",
"telephone_number": "786-314-3863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 S WESTNEDGE AVE",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490020405",
"telephone_number": "269-382-6656"
}
],
"practiceLocations": [
{
"address_1": "3401 S Congress Ave Ste 206",
"address_purpose": "LOCATION",
"city": "Palm Springs",
"state": "FL",
"postal_code": "334613066",
"country_code": "US",
"telephone_number": "561-366-2222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2950 SW 8th St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331352827",
"country_code": "US",
"telephone_number": "305-456-9417",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4919 Sheridan St Ste 50",
"address_purpose": "LOCATION",
"city": "Hollywood",
"state": "FL",
"postal_code": "330212823",
"country_code": "US",
"telephone_number": "954-510-9898",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4410 W 16th Ave Ste 52",
"address_purpose": "LOCATION",
"city": "Hialeah",
"state": "FL",
"postal_code": "330127193",
"country_code": "US",
"telephone_number": "305-825-9899",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRIZARD",
"first_name": "LOURDES",
"middle_name": "C",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-11",
"last_updated": "2025-09-18",
"certification_date": "2025-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN27599",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901602028",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.