NPIMap

Organization Active NPI

Affordable Smiles of Baton Rouge, LLC

  • General Practice Dentistry
  • Baton Rouge, LA
National Provider Identifier
1174009633
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AFFORDABLE SMILES OF BATON ROUGE, LLC
Practice address
2515 Oneal LN Ste 1
Baton Rouge, LA 70816-3397
Phone
(225) 753-5303
Fax
(225) 753-3921
NPI assigned
Jul 17, 2018
Last updated
Feb 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Authorized official

Name
Mrs. Samantha Coats
Title
Insurance Credentialing Manager
Phone
(504) 609-2599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

2515 Oneal LN Ste 1
Baton Rouge, LA 70816-3397

Mailing address

1962 Oneal LN Ste a&B
Baton Rouge, LA 70816-3250
Phone (225) 753-5303

National Provider Directory

National Provider Directory

Locations

1962 Oneal Ln
Ste Ab
Baton Rouge, LA 70816

2515 Oneal Ln
Ste 1
Baton Rouge, LA 70816
Phone (225) 753-5303

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1174009633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1962 ONEAL LN STE A&B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708163250",
            "telephone_number": "225-753-5303",
            "fax_number": "225-753-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 ONEAL LN STE 1",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708163397",
            "telephone_number": "225-753-5303",
            "fax_number": "225-753-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE SMILES OF BATON ROUGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "COATS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "INSURANCE CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "504-609-2599",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Feb 8, 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.