NPIMap

Organization Active NPI

Associates in Dental Health LLC

  • General Practice Dentistry
  • Baton Rouge, LA
National Provider Identifier
1073601720
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4818 Issued in LA
Legal business name
ASSOCIATES IN DENTAL HEALTH LLC
Practice address
15420 S Harrells Ferry Rd
Suite C
Baton Rouge, LA 70816-2940
Phone
(225) 753-5885
Fax
(225) 753-5908
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Carlos Miguel Suadi, DDSNPI 1154402261
Title
Owner
Phone
(225) 753-5885

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4818 LA Primary

Addresses

Primary practice location

15420 S Harrells Ferry Rd
Suite C
Baton Rouge, LA 70816-2940

Mailing address

15420 S Harrells Ferry Rd
Suite C
Baton Rouge, LA 70816-2940
Phone (225) 753-5885

Other identifiers 2

IdentifierTypeStateIssuer
1848182MedicaidLA
856322OtherUNITED CONCORDIA

Other names 1

  • B R Dental Care Doing business as

National Provider Directory

National Provider Directory

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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073601720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15420 S HARRELLS FERRY RD",
            "address_2": "SUITE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162940",
            "telephone_number": "225-753-5885",
            "fax_number": "225-753-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15420 S HARRELLS FERRY RD",
            "address_2": "SUITE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162940",
            "telephone_number": "225-753-5885",
            "fax_number": "225-753-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN DENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUADI",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "MIGUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-753-5885",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "4818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1848182",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "856322",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "B R 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 Aug 22, 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.