NPIMap

Organization Active NPI

Baton Rouge Orthotics & Prosthetics

  • Prosthetic/Orthotic Supplier
  • Baton Rouge, LA
National Provider Identifier
1174615314
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
400246 Issued in LA
Legal business name
BATON ROUGE ORTHOTICS & PROSTHETICS
Practice address
5745 Essen LN
Suite 102
Baton Rouge, LA 70810-1115
Phone
(225) 767-6264
Fax
(225) 767-0311
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
David W Robertson
Title
President/ Owner
Phone
(225) 767-6264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 400246 LA Primary

Addresses

Primary practice location

5745 Essen LN
Suite 102
Baton Rouge, LA 70810-1115

Mailing address

5745 Essen LN
Suite 105
Baton Rouge, LA 70810-1115
Phone (225) 767-6264

Other identifiers 1

IdentifierTypeStateIssuer
1361143MedicaidLA

National Provider Directory

National Provider Directory

Locations

5745 Essen Ln
Ste 102
Baton Rouge, LA 70810
Phone (225) 767-6264

5745 Essen Ln
Ste 105
Baton Rouge, LA 70810
Phone (225) 767-6264

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174615314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5745 ESSEN LN",
            "address_2": "SUITE 105",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101115",
            "telephone_number": "225-767-6264",
            "fax_number": "225-767-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5745 ESSEN LN",
            "address_2": "SUITE 102",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101115",
            "telephone_number": "225-767-6264",
            "fax_number": "225-767-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATON ROUGE ORTHOTICS & PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "225-767-6264"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "LA",
            "license": "400246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1361143",
            "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 Aug 22, 2020; 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.