Brent Joseph Benoit, D.D.S., M.S.D

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

6551 Issued in LA

Practice address

635 Enterprise Dr
Houma, LA 70360-5405

Phone

(985) 853-1142

NPI assigned

Jun 15, 2015

Last updated

Jun 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coastal Orthodontics, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Houma, LA
  • NPI 1922562438
  NPD

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1881075984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 ENTERPRISE DR",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703605405",
            "telephone_number": "985-853-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 ENTERPRISE DR",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703605405",
            "telephone_number": "985-853-1142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "635 Enterprise Dr",
            "address_purpose": "LOCATION",
            "city": "Houma",
            "state": "LA",
            "postal_code": "703605405",
            "country_code": "US",
            "telephone_number": "985-853-1142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENOIT",
        "first_name": "BRENT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-15",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6551",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "LA",
            "license": "6551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marvin Belanger, RPH
• Belinda
• Rhonda H Belle, LCSW
• Beneficence Psychiatric and Mental Health Services, LLC
• Lori Elizabeth-Fonseca Bennett, RDN, LDN
• Brian J Benoit, DDS
• Carol Teuton Benoit, LPC
• Michelle Benoit, RDN, LDN
• Carisa Thelma Benson, CD, PCD, CBC
• Benjamin S Ber, D.D.S. ,M.S.

• Orthodontics and Dentofacial Orthopedics Dentistry in Houma, LA
• Providers in Houma, LA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.