Active NPI
Andrew Frederick Wetterlind, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 7139
- Practice address
- 13730 Millerville Greens Blvd
Baton Rouge, LA 70816-1696 - Phone
- (225) 234-0713
- NPI assigned
- Apr 4, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | D12943 | MN | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 7139 | LA | Primary |
Addresses
Primary practice location
13730 Millerville Greens Blvd
Baton Rouge, LA 70816-1696
Mailing address
324 Silver Creek Dr
Vicksburg, MS 39180-5484
Other practice location 1
70383 Highway 21 # 200
Covington, LA 70433-7150
Phone (985) 590-6287
Other practice location 2
1050 E Admiral Doyle Dr # C
New Iberia, LA 70560-6711
Phone (337) 321-5001
Other practice location 3
2240 Veterans Memorial Blvd
Kenner, LA 70062-5673
Phone (504) 405-3870
Other practice location 4
119 S Airline Hwy
Gonzales, LA 70737-3633
Phone (225) 308-3435
Other practice location 5
2807 W Thomas St
Hammond, LA 70401
Phone (985) 277-3355
Other practice location 6
1677 Gause Blvd
Slidell, LA 70458-2209
Phone (985) 718-3174
Other practice location 7
1708 Martin Luther King Jr Blvd # 101
Houma, LA 70360-2408
Phone (985) 746-9886
Other practice location 8
5540 Johnston St
Lafayette, LA 70503-5138
Phone (337) 247-7698
Other practice location 9
3411 Nelson Rd Ste 100
Lake Charles, LA 70605-1240
Phone (337) 602-9733
Other practice location 10
4964 Lapalco Blvd
Marrero, LA 70072-4371
Phone (504) 784-5642
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 |
|---|---|---|---|
| 7139 | LA | MD | Oral and Maxillofacial Surgery (Dentist) |
| D12943 | MN | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanika Hale DDS LLC | Past | Accepting new patients | |
| Kacey Guillory DDS Professional Dental LLC | Past | Accepting new patients | |
| Chedly Schatzie Vincent DMD LLC | Past | Accepting new patients | |
| Jeffery Riso DDS LLC | Past | Accepting new patients |
Organizations & group practices 4
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
- Kenner, LA
- NPI 1932695046
-
- General Practice Dentistry
- Covington, LA
- NPI 1831766740
-
- General Practice Dentistry
- Lake Charles, LA
- NPI 1447977087
-
- General Practice Dentistry
- Marrero, LA
- NPI 1275365660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603324800000",
"number": "1871882480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 SILVER CREEK DR",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391805484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13730 MILLERVILLE GREENS BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708161696",
"telephone_number": "225-234-0713"
}
],
"practiceLocations": [
{
"address_1": "70383 Highway 21 # 200",
"address_purpose": "LOCATION",
"city": "Covington",
"state": "LA",
"postal_code": "704337150",
"country_code": "US",
"telephone_number": "985-590-6287",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1050 E Admiral Doyle Dr # C",
"address_purpose": "LOCATION",
"city": "New Iberia",
"state": "LA",
"postal_code": "705606711",
"country_code": "US",
"telephone_number": "337-321-5001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2240 Veterans Memorial Blvd",
"address_purpose": "LOCATION",
"city": "Kenner",
"state": "LA",
"postal_code": "700625673",
"country_code": "US",
"telephone_number": "504-405-3870",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "119 S Airline Hwy",
"address_purpose": "LOCATION",
"city": "Gonzales",
"state": "LA",
"postal_code": "707373633",
"country_code": "US",
"telephone_number": "225-308-3435",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2807 W Thomas St",
"address_purpose": "LOCATION",
"city": "Hammond",
"state": "LA",
"postal_code": "70401",
"country_code": "US",
"telephone_number": "985-277-3355",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1677 Gause Blvd",
"address_purpose": "LOCATION",
"city": "Slidell",
"state": "LA",
"postal_code": "704582209",
"country_code": "US",
"telephone_number": "985-718-3174",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1708 Martin Luther King Jr Blvd # 101",
"address_purpose": "LOCATION",
"city": "Houma",
"state": "LA",
"postal_code": "703602408",
"country_code": "US",
"telephone_number": "985-746-9886",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5540 Johnston St",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "LA",
"postal_code": "705035138",
"country_code": "US",
"telephone_number": "337-247-7698",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3411 Nelson Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Lake Charles",
"state": "LA",
"postal_code": "706051240",
"country_code": "US",
"telephone_number": "337-602-9733",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4964 Lapalco Blvd",
"address_purpose": "LOCATION",
"city": "Marrero",
"state": "LA",
"postal_code": "700724371",
"country_code": "US",
"telephone_number": "504-784-5642",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WETTERLIND",
"first_name": "ANDREW",
"middle_name": "FREDERICK",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-04",
"last_updated": "2020-10-22",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MN",
"license": "D12943",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "LA",
"license": "7139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.