Bridgette Michelle Vidrine, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5885 Issued in LA

Practice address

506 N Court St
Opelousas, LA 70570-5220

Phone

(337) 942-3441

Fax

(337) 942-3461

NPI assigned

May 21, 2008

Last updated

Jun 24, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

State licenses

Practice roles

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.

• Opelousas Dental LLC

  • General Practice Dentistry
  • Opelousas, LA
  • NPI 1598060642
  NPD (past) Authorized official

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1972760429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 N COURT ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705705220",
            "telephone_number": "337-942-3441",
            "fax_number": "337-942-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 N COURT ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705705220",
            "telephone_number": "337-942-3441",
            "fax_number": "337-942-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDRINE",
        "first_name": "BRIDGETTE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1858854",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kalyan Kumar Veerina, MD
• Wade Randall Veillon, PHARMACIST
• E. Karl Ventre III, M.D.
• Daniel Louis Verret, PA
• Bernetta V Victorian, LAC, CCGC
• Calvin Dale Vidrine, CRA RJ RN
• Dawana Mary Vidrine, LPN
• Samantha Lavergne Vidrine, M.D.
• Vikram S Parmar MD
• Tonya Paige Villemarette, LPN

• General Practice Dentistry in Opelousas, LA
• Providers in Opelousas, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.