Individual provider Active NPI

Courtney Savoy Regan, DDS

  • Pediatric Dentistry
  • Opelousas, LA
National Provider Identifier
1891429619
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
7575 Issued in LA
Practice address
187 Town Blvd
Opelousas, LA 70570-6971
Phone
(337) 984-4747
NPI assigned
Jul 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 151373 NC
Pediatric Dentistry 1223P0221X 7575 LA Primary

Addresses

Primary practice location

187 Town Blvd
Opelousas, LA 70570-6971

Mailing address

187 Town Blvd
Opelousas, LA 70570-6971

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

LicenseStateTypeSpecialty
7575LAMDPediatric Dentist
151373NCMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
S. Troy Miller, DDS, Opelousas, Apdc Pediatric Dentistry CurrentSince Jul 28, 2024 Accepting new patients

Locations

187 Town Blvd
Opelousas, LA 70570
Phone (337) 984-4747

Interoperability endpoints

  • Direct secure messaging: cregan5332954@direct.casso.us.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1657929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1891429619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 TOWN BLVD",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 TOWN BLVD",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706971",
            "telephone_number": "337-984-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGAN",
        "first_name": "COURTNEY",
        "middle_name": "SAVOY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-16",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "151373",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "LA",
            "license": "7575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.