Organization Active NPI

CFDC, LLC

Doing business as Concord Family Dental Central

  • General Practice Dentistry
  • Baton Rouge, LA
National Provider Identifier
1164197075
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CFDC, LLC
Doing business as
Concord Family Dental Central
Practice address
13323 Hooper Rd
Baton Rouge, LA 70818-3526
Phone
(225) 261-8050
NPI assigned
Aug 12, 2021
Last updated
Aug 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Authorized official

Name
Dr. Adam Joseph Quartano, DDSNPI 1851730154
Title
Owner/Dentist
Phone
(985) 869-6403

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
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

13323 Hooper Rd
Baton Rouge, LA 70818-3526

Mailing address

4450 Bluebonnet Blvd Ste a
Baton Rouge, LA 70809-9649
Phone (985) 869-6403

Other identifiers 1

IdentifierTypeStateIssuer
1863912MedicaidLA

Other names 1

  • Concord Family Dental Central Doing business as

National Provider Directory

National Provider Directory

Locations

13323 Hooper Rd
Baton Rouge, LA 70818
Phone (225) 261-8050

4450 Bluebonnet Blvd
Ste A
Baton Rouge, LA 70809
Phone (225) 291-2212

Practitioners & affiliated clinicians

Practitioners 3

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": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1164197075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 BLUEBONNET BLVD STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708099649",
            "telephone_number": "985-869-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13323 HOOPER RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708183526",
            "telephone_number": "225-261-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CFDC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "QUARTANO",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "985-869-6403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1863912",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concord Family Dental Central",
            "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 Aug 12, 2021; 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.