NPIMap

Organization Active NPI

Martha V. Roussel, DDS, LLC

  • Dentist
  • Baton Rouge, LA
National Provider Identifier
1033313689
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5276 Issued in LA
Legal business name
MARTHA V. ROUSSEL, DDS, LLC
Practice address
8220 Goodwood Blvd Ste 4B
Baton Rouge, LA 70806-7741
Phone
(225) 603-0590
NPI assigned
Jun 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Martha Vandersypen Roussel, DDSNPI 1942404793
Title
Dentist
Phone
(225) 603-0590

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5276 LA Primary

Addresses

Primary practice location

8220 Goodwood Blvd Ste 4B
Baton Rouge, LA 70806-7741

Mailing address

39450 Quail Creek Ave
Prairieville, LA 70769-4829
Phone (225) 603-0590

National Provider Directory

National Provider Directory

Locations

8220 Goodwood Blvd
Ste 4B
Baton Rouge, LA 70806
Phone (225) 603-0590

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1033313689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39450 QUAIL CREEK AVE",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707694829",
            "telephone_number": "225-603-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 GOODWOOD BLVD STE 4B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708067741",
            "telephone_number": "225-603-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA V. ROUSSEL, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "ROUSSEL",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "VANDERSYPEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "225-603-0590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "LA",
            "license": "5276",
            "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 Jun 16, 2008; 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.