Individual provider Active NPI

Elise Kaylin King Norris, D.D.S

  • Dentist
  • Baton Rouge, LA
National Provider Identifier
1134578693
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6661 Issued in LA
Practice address
554 Colonial Dr
Baton Rouge, LA 70806-6552
Phone
(225) 923-2291
NPI assigned
Jun 6, 2016
Last updated
Mar 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6661 LA Primary

Addresses

Primary practice location

554 Colonial Dr
Baton Rouge, LA 70806-6552

Mailing address

2750 Millerville Rd Apt 3303
Baton Rouge, LA 70816-0113
Phone (225) 333-0036

Other practice location 1

3557 Monterrey Dr
Baton Rouge, LA 70814-2918
Phone (225) 927-8968

Other identifiers 1

IdentifierTypeStateIssuer
33444MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6661LAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1134578693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 MILLERVILLE RD APT 3303",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708160113",
            "telephone_number": "225-333-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 COLONIAL DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066552",
            "telephone_number": "225-923-2291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3557 Monterrey Dr",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708142918",
            "country_code": "US",
            "telephone_number": "225-927-8968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "ELISE",
        "middle_name": "KAYLIN KING",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33444",
            "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 Mar 20, 2019; 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.