NPIMap

Organization Active NPI

Jacob Francis Henderson DDS LLC

Doing business as Central Dental Care

  • Dental Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1144617150
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5406 Issued in LA
Legal business name
JACOB FRANCIS HENDERSON DDS LLC
Doing business as
Central Dental Care
Practice address
11424 Sullivan Rd BLDG B
Ste a
Baton Rouge, LA 70818-3615
Phone
(225) 261-6645
Fax
(225) 262-9061
NPI assigned
Apr 17, 2015
Last updated
Apr 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Authorized official

Name
Dr. Jacob Francis Henderson, DDSNPI 1205960424
Title
Owner
Phone
(225) 261-6645

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
Dental Clinic/Center 261QD0000X 5406 LA Primary

Addresses

Primary practice location

11424 Sullivan Rd BLDG B
Ste a
Baton Rouge, LA 70818-3615

Mailing address

11424 Sullivan Rd BLDG B
Ste a
Baton Rouge, LA 70818-3615
Phone (225) 261-6645

Other names 1

  • CENTRAL 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1144617150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11424 SULLIVAN RD BLDG B",
            "address_2": "STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708183615",
            "telephone_number": "225-261-6645",
            "fax_number": "225-262-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11424 SULLIVAN RD BLDG B",
            "address_2": "STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708183615",
            "telephone_number": "225-261-6645",
            "fax_number": "225-262-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB FRANCIS HENDERSON DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-261-6645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "LA",
            "license": "5406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL 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 Apr 20, 2015; 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.