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DR. MARIJA GUIDRY LASALLE D.D.S.
NPI 1699873133
Dentist - Periodontics in Mandeville, LA

Active since September 20, 2006PECOS Enrolled
1580 W CAUSEWAY APPROACH, SUITE 5, MANDEVILLE, LA 70471(985) 727-1133(985) 727-9944 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Marija Guidry Lasalle D.d.s. NPPES

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

DR. MARIJA GUIDRY LASALLE D.D.S. (NPI 1699873133) is an individual periodontics provider in Mandeville, Louisiana, licensed in Louisiana (4485) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699873133
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. MARIJA GUIDRY LASALLECredential: D.D.S.
Location Address1580 W CAUSEWAY APPROACH, SUITE 5Mandeville, LA 70471-3033
Mailing Address1580 W Causeway Approach, Suite 5Mandeville, LA 70471-3033 · (985) 727-1133 · Fax (985) 727-9944
Phone(985) 727-1133
Fax(985) 727-9944
Sole ProprietorYes
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1699873133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in LA · 4485
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1580 W CAUSEWAY APPROACH, Mandeville, LA 70471
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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. Marija Guidry Lasalle D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 70471 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 6

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

DR. MARILU O'BYRNE M.D.
Ophthalmology
1580 W CAUSEWAY APPROACH, SUITE 3
MANDEVILLE, LA 70471
St. Tammany Parish (985) 624-5573
DR. RALPH R NIX III MD
Specialist
1580 W CAUSEWAY APPROACH, SUITE 3
MANDEVILLE, LA 70471
St. Tammany Parish (985) 626-8223
RALPH R NIX III LLC
Specialist
1580 W CAUSEWAY APPROACH, SUITE 3
MANDEVILLE, LA 70471
St. Tammany Parish (985) 626-8223
OBYRNE EYE CLINIC, L.L.C.
Specialist
1580 W CAUSEWAY APPROACH, SUITE 3
MANDEVILLE, LA 70471
St. Tammany Parish (985) 624-5573
OLIVER WENDALL WHITNEY A PROFESSIONAL OPTOMETRY CORP (APOC)
Optometrist
1580 W CAUSEWAY APPROACH, SUITE 3
MANDEVILLE, LA 70471
St. Tammany Parish (985) 626-5242
DR. OLIVER WENDELL WHITNEY OD
Optometrist
1580 W CAUSEWAY APPROACH, STE 3
MANDEVILLE, LA 70471
St. Tammany Parish (985) 626-5242

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 Marija Lasalle's NPI number?

The NPI number for Marija Lasalle is 1699873133. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Marija Lasalle located?

Marija Lasalle practices at 1580 W Causeway Approach Suite 5, Mandeville, LA 70471. The listed phone number is (985) 727-1133.

What is Marija Lasalle's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Marija Lasalle enrolled in Medicare?

Yes. Marija Lasalle is registered in the Medicare PECOS enrollment system.

What insurance does Marija Lasalle 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 and Guardian list Marija Lasalle 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 Marija Lasalle was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.