LANDON DALE BROUSSARD DDS
NPI 1962159368
Dentist in Greenwell Springs, LA

Q: What is Landon Broussard's NPI number?

The NPI number for Landon Broussard is 1962159368. It was assigned to this individual provider in the NPPES registry on March 5, 2022.

Q: What is Landon Broussard's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Landon Broussard was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 05, 2022PECOS Enrolled

16606 GREENWELL SPRINGS RD, GREENWELL SPRINGS, LA 70739(225) 262-4150 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 23, 2022, Mar 5, 2022 (2 updates tracked since 2022).

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About Landon Dale Broussard Dds NPPES

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

LANDON DALE BROUSSARD DDS (NPI 1962159368) is an individual dentist in Greenwell Springs, Louisiana, licensed in Louisiana (7299) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962159368

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameLANDON DALE BROUSSARDCredential: DDS

Location Address16606 GREENWELL SPRINGS RDGreenwell Springs, LA 70739-4128

Mailing Address24615 Morris RdPride, LA 70770-9829 · (225) 505-5960

Phone(225) 262-4150

Sole ProprietorNo

Enumeration DateMarch 5, 2022

Last NPPES UpdateMay 23, 20222 updates tracked since enumeration

NPPES CertifiedMay 23, 2022

✔ NPI 1962159368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in LA · 7299

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

16606 GREENWELL SPRINGS RD, Greenwell Springs, LA 70739

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Louisiana 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)

Landon Dale Broussard Dds 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 70739 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 4

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

DR. DAVID KEVIN PRUDHOME DDS

Dentist (General Practice)

16606 GREENWELL SPRINGS RD
GREENWELL SPRINGS, LA 70739

East Baton Rouge Parish (225) 262-4150

JOHN ROSHTO DDS

Dentist

16606 GREENWELL SPRINGS RD
GREENWELL SPRINGS, LA 70739

East Baton Rouge Parish (225) 262-4150

EXCEPTIONAL DENTAL OF CENTRAL, LLC

Dentist (General Practice)

16606 GREENWELL SPRINGS RD
GREENWELL SPRINGS, LA 70739

East Baton Rouge Parish (225) 262-4150

JOHN T ROSHTO DDS LLC

Dentist

16606 GREENWELL SPRINGS RD
GREENWELL SPRINGS, LA 70739

East Baton Rouge Parish (225) 262-4150

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 Landon Broussard's NPI number?

The NPI number for Landon Broussard is 1962159368. It was assigned to this individual provider in the NPPES registry on March 5, 2022.

Where is Landon Broussard located?

Landon Broussard practices at 16606 Greenwell Springs Rd, Greenwell Springs, LA 70739. The listed phone number is (225) 262-4150.

What is Landon Broussard's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Landon Broussard enrolled in Medicare?

Yes. Landon Broussard is registered in the Medicare PECOS enrollment system.

What insurance does Landon Broussard accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Landon Broussard 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 Landon Broussard was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.