VINTAGE L DELAHOUSSAYE DDS APDC (NPI# 1407364730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407364730 |
| Entity Type | Organization |
| Organization Name | VINTAGE L DELAHOUSSAYE DDS APDC |
| Practice Address |
1144 Coolidge Blvd Ste A Lafayette LA 70503-2622 |
| Practice Telephone | 3372348788 |
| Mailing Telephone | 3372348788 |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-01-22 |
| Authorized Official Name | VINTAGE LEBLANC (OWNER/PRESIDENT) |
| Authorized Official Telephone | 3372348788 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
5523 | LA | Ambulatory Health Care Facilities |
| Street Address |
1144 COOLIDGE BLVD STE A |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70503-2622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801820790 | Robert Burton Bode | Dentist | 1144 Coolidge Blvd Ste A, Lafayette, LA 70503-2622 | 2006-07-10 |
| 1336201417 | Vintage Leigh Leblanc | Dentist | 1144 Coolidge Blvd Ste A, Lafayette, LA 70503 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962024620 | The Carpenter Center for Palliative Medicine of Lafayette, LLC | General Acute Care Hospital | 923 West Pinhook Road, Lafayette, LA 70503 | 2020-05-15 |
| 1326679143 | Elisabeth Robertson | Speech-Language Pathologist | 227b Bendel Rd., Ste. C, Lafayette, LA 70503 | 2020-01-30 |
| 1497391973 | Solvet Services LLC | Durable Medical Equipment & Medical Supplies | 345 Doucet Rd., Suite 212, Lafayette, LA 70503 | 2019-11-20 |
| 1023654712 | Louisiana Cardiac Vascular and Pulmonary Rehab LLC | Registered Nurse | 2701 Johnston Street, Ste 100, Lafayette, LA 70503 | 2019-11-18 |
| 1972147346 | Ryan Christopher Winters | Counselor | 143 Ridgeway Dr., Lafayette, LA 70503 | 2019-10-29 |
| 1861046112 | Lafayette General Medical Center Inc | General Acute Care Hospital | 1213 Coolidge Street, Lafayette, LA 70503 | 2019-07-25 |
| 1770041295 | Karen R Rue | Registered Nurse | 1001 W. Pinhook Rd, Bldg #3, Ste. 212, Lafayette, La, LA 70503 | 2019-03-04 |
| 1235601766 | Frances Chauvin, Dds, LLC | Dentist | 229 Bendel Rd., Lafayette, LA 70503 | 2018-12-21 |
| 1710456116 | Affordable Caregivers, Inc. | In Home Supportive Care | 515 South College Rd., Suite 125, Lafeyette, LA 70503 | 2018-11-15 |
| 1366911778 | Taylor Callais-rusich | Counselor | 142 Ridgeway Dr., 201, Lafayette, LA 70503 | 2018-11-14 |
| Find all providers in zip 70503 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548728934 | Angela F. Bayat Dds Apdc | Clinic/Center | 895 Moraga Rd Ste 5, Lafayette, CA 94549-5039 | 2019-03-05 |
| 1689146920 | Raelene Fulford Dds Pllc | Clinic/Center | 110 Old Laramie Trl Ste 105, Lafayette, CO 80026-7010 | 2018-12-27 |
| 1750724613 | Shane T Cope LLC | Clinic/Center | 4921 State Road 26 E, Suite 100, Lafayette, IN 47905-4608 | 2013-04-10 |
| 1760761704 | Batliner Dental Health, Pllc | Clinic/Center | 2695 N Park Dr, Suite 104, Lafayette, CO 80026-3177 | 2011-08-09 |
| 1063681914 | Imagdent Acadiana, L.L.C. | Clinic/Center | 1225 Coolidge Blvd, Lafayette, LA 70503-2620 | 2008-02-25 |
| 1083212591 | Rebecca Jardine, Dds, Inc. | Clinic/Center | 915 Village Ctr, Lafayette, CA 94549-3504 | 2020-10-16 |
| 1932718335 | Lafayette Endodontics, LLC | Clinic/Center | 415 N 26th St Ste 302, Lafayette, IN 47904-2893 | 2020-07-31 |
| 1245861665 | Taylor Houston Shank, Dds, A Professional Dental Corporation | Clinic/Center | 313 E Main St, Lafayette, LA 70501-8061 | 2020-02-04 |
| 1952872194 | Tfdc- Lafayette, LLC | Clinic/Center | 121 Rue Louis Xiv, Ste 2, Lafayette, LA 70508 | 2018-12-16 |
| 1629428602 | Dr Casey Weber Dds LLC | Clinic/Center | 1601 Kaliste Saloom Rd, Lafayette, LA 70508-6109 | 2016-06-21 |
| Find all providers in LAFAYETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.