NPIMap

Organization Active NPI

Lee Daniel Casey,D.M.D., L.L.C.

  • Dentist
  • Baton Rouge, LA
National Provider Identifier
1124531140
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6737 Issued in LA
Legal business name
LEE DANIEL CASEY,D.M.D., L.L.C.
Practice address
2137 Quail Run
Baton Rouge, LA 70808-4289
Phone
(225) 270-9594
NPI assigned
Nov 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Sarah Ashley Casey
Title
Office Manager
Phone
(601) 551-2003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6737 LA Primary

Addresses

Primary practice location

2137 Quail Run
Baton Rouge, LA 70808-4289

Mailing address

PO Box 695
Liberty, MS 39645-0695

Other identifiers 1

IdentifierTypeStateIssuer
05439877MedicaidMS

Other names 1

  • Smiles On The Go Doing business as

National Provider Directory

National Provider Directory

Locations

2137 Quail Run
Baton Rouge, LA 70808
Phone (225) 270-9594

NPI Registry JSON

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1124531140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 695",
            "city": "LIBERTY",
            "state": "MS",
            "postal_code": "396450695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2137 QUAIL RUN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084289",
            "telephone_number": "225-270-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE DANIEL CASEY,D.M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "601-551-2003"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "LA",
            "license": "6737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05439877",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles On The Go",
            "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 Jun 16, 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.