Individual provider Active NPI

Desiree Conton

  • Dentist
  • Baton Rouge, LA
National Provider Identifier
1124608419
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DD5620 Issued in NM
Practice address
3140 Florida St
Baton Rouge, LA 70806-3757
Phone
(225) 650-2000
NPI assigned
Apr 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DD5620 NM Primary

Addresses

Primary practice location

3140 Florida St
Baton Rouge, LA 70806-3757

Mailing address

3140 Florida St
Baton Rouge, LA 70806-3757

Other practice location 1

3140 Florida St
Baton Rouge, LA 70806-3757
Phone (225) 650-2000

Other practice location 2

904 Catalpa St
Donaldsonville, LA 70346-2946
Phone (225) 264-6800

Other practice location 3

59340 River West Dr
Plaquemine, LA 70764-6553
Phone (225) 385-4742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231030002562 LA Practitioner - Dentist 4789060013 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol City Family Health Center Incorporated Current Accepting new patients
Capitol City Family Health Center, Incorporated CurrentSince Sep 11, 2023 Accepting new patients
Capitol City Family Health Center Incorporated CurrentSince Sep 11, 2023 Accepting new patients
Capitol City Family Health Center, Incorporated Past Accepting new patients

Locations

3140 Florida St
Baton Rouge, LA 70806
Phone (225) 650-2000

904 Catalpa St
Donaldsonville, LA 70346
Phone (225) 264-6800

59340 River West Dr
Plaquemine, LA 70764
Phone (225) 385-4742

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1124608419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 FLORIDA ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 FLORIDA ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063757",
            "telephone_number": "225-650-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3140 Florida St",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708063757",
            "country_code": "US",
            "telephone_number": "225-650-2000",
            "fax_number": "505-983-4751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "904 Catalpa St",
            "address_purpose": "LOCATION",
            "city": "Donaldsonville",
            "state": "LA",
            "postal_code": "703462946",
            "country_code": "US",
            "telephone_number": "225-264-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "59340 River West Dr",
            "address_purpose": "LOCATION",
            "city": "Plaquemine",
            "state": "LA",
            "postal_code": "707646553",
            "country_code": "US",
            "telephone_number": "225-385-4742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONTON",
        "first_name": "DESIREE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-11",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD5620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.