NPIMap

Organization Active NPI

Barksdale Dentistry LLC

  • Dental Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1174901722
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2681 Issued in LA
Legal business name
BARKSDALE DENTISTRY LLC
Practice address
12045 Coursey Blvd
Baton Rouge, LA 70816-4478
Phone
(225) 292-8783
Fax
(225) 292-8030
NPI assigned
May 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Authorized official

Name
Dr. John Monroe Barksdale, DDSNPI 1699966002
Title
Owner
Phone
(225) 292-8783

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
Dental Clinic/Center 261QD0000X 2681 LA Primary

Addresses

Primary practice location

12045 Coursey Blvd
Baton Rouge, LA 70816-4478

Mailing address

12045 Coursey Blvd
Baton Rouge, LA 70816-4478
Phone (225) 292-8783

National Provider Directory

National Provider Directory

Locations

12045 Coursey Blvd
Baton Rouge, LA 70816
Phone (225) 292-8783

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1174901722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12045 COURSEY BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164478",
            "telephone_number": "225-292-8783",
            "fax_number": "225-292-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12045 COURSEY BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164478",
            "telephone_number": "225-292-8783",
            "fax_number": "225-292-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARKSDALE DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "BARKSDALE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MONROE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-292-8783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "LA",
            "license": "2681",
            "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 May 15, 2015; 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.