NPIMap

Organization Active NPI

Weilbacher Dental Care

  • Dentist
  • Baton Rouge, LA
National Provider Identifier
1174731012
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2924 Issued in LA
Legal business name
WEILBACHER DENTAL CARE
Practice address
2321 Drusilla Lane
Suite a
Baton Rouge, LA 70809-1464
Phone
(225) 928-3384
NPI assigned
May 21, 2007
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
Dr. Stephen John Weilbacher, DDS
Title
President
Phone
(225) 928-3384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2924 LA Primary

Addresses

Primary practice location

2321 Drusilla Lane
Suite a
Baton Rouge, LA 70809-1464

Mailing address

2321 Drusilla Lane
Suite a
Baton Rouge, LA 70809-1464
Phone (225) 928-3384

Other identifiers 1

IdentifierTypeStateIssuer
1829242MedicaidLA

National Provider Directory

National Provider Directory

Locations

2321 Drusilla Ln
Ste A
Baton Rouge, LA 70809
Phone (225) 928-3384

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174731012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 DRUSILLA LANE",
            "address_2": "SUITE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091464",
            "telephone_number": "225-928-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 DRUSILLA LANE",
            "address_2": "SUITE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091464",
            "telephone_number": "225-928-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEILBACHER DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEILBACHER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-928-3384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "LA",
            "license": "2924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1829242",
            "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.