Active NPI
Wayne E Lyerly, D.D.S.
- Dentist
- Metairie, LA
National Provider Identifier
1790924579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2653
- Practice address
- 5500 Veterans Memorial Blvd
Suite 212
Metairie, LA 70003-1750 - Phone
- (504) 455-5252
- NPI assigned
- Feb 18, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2653 | LA | Primary |
Addresses
Primary practice location
5500 Veterans Memorial Blvd
Suite 212
Metairie, LA 70003-1750
Mailing address
5500 Veterans Memorial Blvd
Suite 212
Metairie, LA 70003-1750
Phone (504) 455-5252
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 |
|---|---|---|---|
| 2653 | LA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234915200000",
"number": "1790924579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 VETERANS MEMORIAL BLVD",
"address_2": "SUITE 212",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700031750",
"telephone_number": "504-455-5252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 VETERANS MEMORIAL BLVD",
"address_2": "SUITE 212",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700031750",
"telephone_number": "504-455-5252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYERLY",
"first_name": "WAYNE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-18",
"last_updated": "2009-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "2653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Feb 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.