Individual provider Active NPI

Samantha Girard, DDS

  • General Practice Dentistry
  • Lafayette, LA
National Provider Identifier
1972293520
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7588 Issued in LA
Practice address
1105 S College Rd Ste B
Lafayette, LA 70503-3067
Phone
(337) 205-3858
NPI assigned
May 8, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN.00205599 CO
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 7588 LA Primary

Addresses

Primary practice location

1105 S College Rd Ste B
Lafayette, LA 70503-3067

Mailing address

9579 S University Blvd Unit 400
Highlands Ranch, CO 80126-8106
Phone (337) 212-9569

Other practice location 1

18271 Cottonwood Dr Apt 207
Parker, CO 80138-8970
Phone (337) 212-9569

Other practice location 2

9579 S University Blvd Unit 400
Highlands Ranch, CO 80126-8106
Phone (303) 683-5091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20230717001525 CO Order and Referring Only - DentistPractitioner - Dentist 7214397660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN.00205599COMDGeneral Practice Dentistry
7588LAMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1972293520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9579 S UNIVERSITY BLVD UNIT 400",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801268106",
            "telephone_number": "337-212-9569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 S COLLEGE RD STE B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033067",
            "telephone_number": "337-205-3858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18271 Cottonwood Dr Apt 207",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801388970",
            "country_code": "US",
            "telephone_number": "337-212-9569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9579 S University Blvd Unit 400",
            "address_purpose": "LOCATION",
            "city": "Highlands Ranch",
            "state": "CO",
            "postal_code": "801268106",
            "country_code": "US",
            "telephone_number": "303-683-5091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIRARD",
        "first_name": "SAMANTHA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00205599",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "7588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.