Individual provider Active NPI

Leah Pillet Larson, D.D.S.

  • Dentist
  • Baton Rouge, LA
National Provider Identifier
1881900918
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6258 Issued in LA
Practice address
7520 Perkins Rd
Suite 310
Baton Rouge, LA 70808-9111
Phone
(225) 769-0031
NPI assigned
Aug 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6258 LA Primary

Addresses

Primary practice location

7520 Perkins Rd
Suite 310
Baton Rouge, LA 70808-9111

Mailing address

8040 Sevenoaks Ave
Baton Rouge, LA 70806-7657
Phone (225) 802-6097

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
I20200513001910 LA Order and Referring Only - DentistPractitioner - Dentist 1355772054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6258LAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1881900918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 SEVENOAKS AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708067657",
            "telephone_number": "225-802-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 PERKINS RD",
            "address_2": "SUITE 310",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708089111",
            "telephone_number": "225-769-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "LEAH",
        "middle_name": "PILLET",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-26",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.