Active NPI
Leslie Baldwin Whittington, D.D.S.
- Dentist
- Lafayette, LA
National Provider Identifier
1982998688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6164
- Practice address
- 4906 Ambassador Caffery Pkwy BLDG I
Lafayette, LA 70508-6962 - Phone
- (337) 456-5573
- NPI assigned
- May 31, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 6164 | LA | Primary |
Addresses
Primary practice location
4906 Ambassador Caffery Pkwy BLDG I
Lafayette, LA 70508-6962
Mailing address
138 Rue Des Cannes
Maurice, LA 70555-3467
Phone (318) 366-4111
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 |
|---|---|---|---|
| 6164 | LA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332892800000",
"number": "1982998688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 RUE DES CANNES",
"city": "MAURICE",
"state": "LA",
"postal_code": "705553467",
"telephone_number": "318-366-4111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4906 AMBASSADOR CAFFERY PKWY BLDG I",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705086962",
"telephone_number": "337-456-5573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITTINGTON",
"first_name": "LESLIE",
"middle_name": "BALDWIN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-31",
"last_updated": "2012-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "6164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.