NPIMap

Organization Active NPI

Cangelosi Family Dentistry LLC

  • Dentist
  • Baton Rouge, LA
National Provider Identifier
1023173226
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4864 Issued in LA
Legal business name
CANGELOSI FAMILY DENTISTRY LLC
Practice address
4220 Bluebonnet Blvd
Suite a
Baton Rouge, LA 70809-9671
Phone
(225) 292-3456
Fax
(225) 291-2167
NPI assigned
Dec 27, 2006
Last updated
Feb 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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

Authorized official

Name
Dr. Richard G Cangelosi, DDSNPI 1689014714
Title
Dentist
Phone
(225) 292-3456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4864 LA Primary

Addresses

Primary practice location

4220 Bluebonnet Blvd
Suite a
Baton Rouge, LA 70809-9671

Mailing address

4220 Bluebonnet Blvd
Suite a
Baton Rouge, LA 70809-9671
Phone (225) 292-3456

National Provider Directory

National Provider Directory

Locations

4220 Bluebonnet Blvd
Ste A
Baton Rouge, LA 70809
Phone (225) 292-3456

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1023173226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 BLUEBONNET BLVD",
            "address_2": "SUITE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708099671",
            "telephone_number": "225-292-3456",
            "fax_number": "225-291-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 BLUEBONNET BLVD",
            "address_2": "SUITE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708099671",
            "telephone_number": "225-292-3456",
            "fax_number": "225-291-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANGELOSI FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "CANGELOSI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "225-292-3456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "4864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.