DR. MICHAEL JOSEPH BOUDREAUX D.D.S.
NPI 1154583714
Dentist - General Practice in Houma, LA

Active since June 25, 2008PECOS Enrolled
809 W TUNNEL BLVD, HOUMA, LA 70360(985) 851-1717(985) 851-7183 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael Joseph Boudreaux D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL JOSEPH BOUDREAUX D.D.S. (NPI 1154583714) is an individual general practice provider in Houma, Louisiana, licensed in Louisiana (5906) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Dentistry (2008).

NPPES Registry Identity

NPI1154583714
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MICHAEL JOSEPH BOUDREAUXCredential: D.D.S.
Location Address809 W TUNNEL BLVDHouma, LA 70360-5555
Mailing Address761 W Tunnel BlvdHouma, LA 70360-5545 · (985) 876-5430 · Fax (985) 876-0455
Fax(985) 851-7183
Sole ProprietorNo
Medical School CMSLouisiana State University School Of DentistryGraduated 2008
Enumeration DateJune 25, 2008
Last NPPES UpdateOctober 4, 2023
NPPES CertifiedOctober 4, 2023
NPI 1154583714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in LA · 5906
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
809 W TUNNEL BLVD, Houma, LA 70360

Other Identifiers 1

Medicaid1859061LA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Michael Joseph Boudreaux D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860569985
PECOS Enrollment IDI20260408002915
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70360 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
809 W TUNNEL BLVD
HOUMA, LA 70360
Nurse Practitioner (Family)
809 W TUNNEL BLVD
HOUMA, LA 70360
Social Worker (Clinical)
809 W TUNNEL BLVD
HOUMA, LA 70360

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Boudreaux's NPI number?

The NPI number for Michael Boudreaux is 1154583714. It was assigned to this individual provider in the NPPES registry on June 25, 2008.

Where is Michael Boudreaux located?

Michael Boudreaux practices at 809 W Tunnel Blvd, Houma, LA 70360. The listed phone number is (985) 851-1717.

What is Michael Boudreaux's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Michael Boudreaux enrolled in Medicare?

Yes. Michael Boudreaux is registered in the Medicare PECOS enrollment system.

What insurance does Michael Boudreaux accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Guardian and Humana list Michael Boudreaux as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Boudreaux was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.