NPIMap

Organization Active NPI

Ed Bateman DDS a Professional Dental Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Baton Rouge, LA
National Provider Identifier
1164681003
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
1584 Issued in LA
Legal business name
ED BATEMAN DDS A PROFESSIONAL DENTAL CORPORATION
Practice address
748 Chevelle Dr
Baton Rouge, LA 70806-6503
Phone
(225) 927-5095
Fax
(225) 927-5096
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Mrs. Madeline B Holder
Title
Office Manager
Phone
(225) 927-5095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 1584 LA Primary

Addresses

Primary practice location

748 Chevelle Dr
Baton Rouge, LA 70806-6503

Mailing address

748 Chevelle Dr
Baton Rouge, LA 70806-6503
Phone (225) 927-5095

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1164681003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 CHEVELLE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066503",
            "telephone_number": "225-927-5095",
            "fax_number": "225-927-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 CHEVELLE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066503",
            "telephone_number": "225-927-5095",
            "fax_number": "225-927-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ED BATEMAN DDS A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "HOLDER",
        "authorized_official_first_name": "MADELINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "225-927-5095",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "LA",
            "license": "1584",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 5, 2008; 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.