Active NPI
Astrid Ann Bratcher, DDS
- Dentist
- Mandeville, LA
National Provider Identifier
1891861654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5467
- Practice address
- 700 Asbury Dr
Mandeville, LA 70471-1844 - Phone
- (985) 778-0096
- NPI assigned
- Nov 25, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 5467 | LA | Primary |
Addresses
Primary practice location
700 Asbury Dr
Mandeville, LA 70471-1844
Mailing address
2083 3Rd St
Mandeville, LA 70471-6426
Phone (985) 624-8602
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1854671 | Medicaid | LA |
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 |
|---|---|---|---|
| 5467 | LA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Family Dentistry. Com | Dentist | Past | Accepting new patients |
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.
-
- Dentist
- Mandeville, LA
- NPI 1225156391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431561600000",
"number": "1891861654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2083 3RD ST",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704716426",
"telephone_number": "985-624-8602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 ASBURY DR",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704711844",
"telephone_number": "985-778-0096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRATCHER",
"first_name": "ASTRID",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-25",
"last_updated": "2015-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "5467",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1854671",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mandeville, LA
- Maureen C. Bradshaw, LAC
- Brain Restoration Wellness Center, LLC
- Elizabeth Caroline Branch, MA,BCBA
- Brand Direct Health LLC
- K Brantley, BS PHARMACY
- Brian Bratcher, O.D.
- Alexandra Kathryn Breland, NP
- Tyler James Brent, LCSW
- Brian H. Strand, M.D., a Professional Medical Corporation
- Josh Jermaine Bright
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.