NPIMap

Organization Active NPI

Levy and Vutera Family Dentistry

  • General Practice Dentistry
  • Baton Rouge, LA
National Provider Identifier
1124516760
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LEVY AND VUTERA FAMILY DENTISTRY
Practice address
6509 Government St Ste a
Baton Rouge, LA 70806-6238
Phone
(225) 924-1824
NPI assigned
Apr 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Authorized official

Name
Moira Easley
Title
Office Manager
Phone
(225) 938-6432

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X LA

Addresses

Primary practice location

6509 Government St Ste a
Baton Rouge, LA 70806-6238

Mailing address

6509 Government St Ste a
Baton Rouge, LA 70806-6238
Phone (225) 924-1824

Other identifiers 1

IdentifierTypeStateIssuer
1114259967MedicaidLA

National Provider Directory

National Provider Directory

Locations

6509 Government St
Ste A
Baton Rouge, LA 70806
Phone (225) 924-1824

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": "1525046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1124516760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6509 GOVERNMENT ST STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066238",
            "telephone_number": "225-924-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6509 GOVERNMENT ST STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066238",
            "telephone_number": "225-924-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVY AND VUTERA FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "EASLEY",
        "authorized_official_first_name": "MOIRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "225-938-6432"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "LA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114259967",
            "state": "LA"
        }
    ],
    "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 Apr 30, 2018; 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.