NPIMap

Organization Active NPI

Louisiana Pediatric Dentistry

  • Pediatric Dentistry
  • Lafayette, LA
National Provider Identifier
1992535561
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
LOUISIANA PEDIATRIC DENTISTRY
Practice address
913 S College Rd Ste 100
Lafayette, LA 70503-3061
Phone
(337) 901-5220
NPI assigned
Aug 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Mrs. Danielle Andrus
Title
Office Manger
Phone
(337) 901-5220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

913 S College Rd Ste 100
Lafayette, LA 70503-3061

Mailing address

913 S College Rd Ste 100
Lafayette, LA 70503-3061
Phone (337) 901-5220

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1992535561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 S COLLEGE RD STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033061",
            "telephone_number": "337-901-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 S COLLEGE RD STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033061",
            "telephone_number": "337-901-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "ANDRUS",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OFFICE MANGER",
        "authorized_official_telephone_number": "337-901-5220",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "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 Aug 7, 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.