Organization Active NPI

Kidder and Kidder

  • General Practice Dentistry
  • Baton Rouge, LA
National Provider Identifier
1154821460
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5901 Issued in LA
Legal business name
KIDDER AND KIDDER
Practice address
6535 Perkins Rd
Baton Rouge, LA 70808-4259
Phone
(225) 761-8585
Fax
(225) 761-1979
NPI assigned
Feb 14, 2018
Last updated
Feb 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2018

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

Authorized official

Name
Dr. Dustin Kidder, DDSNPI 1801112073
Title
Dentist/Owner
Phone
(225) 761-8585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 5901 LA Primary

Addresses

Primary practice location

6535 Perkins Rd
Baton Rouge, LA 70808-4259

Mailing address

6535 Perkins Rd
Baton Rouge, LA 70808-4259
Phone (225) 761-8585

Other identifiers 1

IdentifierTypeStateIssuer
82-1801786OtherLADENTAL PRACTICE

National Provider Directory

National Provider Directory

Locations

6535 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 761-8585

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": "1518566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518566400000",
    "number": "1154821460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 PERKINS RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084259",
            "telephone_number": "225-761-8585",
            "fax_number": "225-761-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 PERKINS RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084259",
            "telephone_number": "225-761-8585",
            "fax_number": "225-761-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDDER AND KIDDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A",
        "authorized_official_last_name": "KIDDER",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "225-761-8585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL PRACTICE",
            "identifier": "82-1801786",
            "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 Feb 14, 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.