Organization Active NPI

Michael P Juban DDS and J Cody Cowen North Apdllc

  • General Practice Dentistry
  • Baton Rouge, LA
National Provider Identifier
1033733746
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MICHAEL P JUBAN DDS AND J CODY COWEN NORTH APDLLC
Practice address
8670 Airline Highway
Suite a
Baton Rouge, LA 70815
Phone
(225) 927-8968
NPI assigned
May 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Authorized official

Name
Donna McCaffery
Title
Business Manager
Phone
(225) 927-8663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

8670 Airline Highway
Suite a
Baton Rouge, LA 70815

Mailing address

8564 Jefferson Hwy Ste a
Baton Rouge, LA 70809-2424
Phone (225) 927-8663

Other names 1

  • Southern Oaks Family Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Michael P Juban DDS and J Cody Cowen North LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8670 Airline Hwy
#A
Baton Rouge, LA 70815
Phone (225) 927-8968

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590710400000",
    "number": "1033733746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8564 JEFFERSON HWY STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092424",
            "telephone_number": "225-927-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8670 AIRLINE HIGHWAY",
            "address_2": "SUITE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70815",
            "telephone_number": "225-927-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL P JUBAN DDS AND J CODY COWEN NORTH APDLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A",
        "authorized_official_last_name": "MCCAFFERY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "225-927-8663"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Oaks Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 29, 2020; 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.