Active NPI
Daniel C. Megison, DDS
- General Practice Dentistry
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5045
- Practice address
- 13360 Coursey Blvd
Suite C
Baton Rouge, LA 70816-5024 - Phone
- (225) 756-1998
- Fax
- (225) 756-4337
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5045 | LA | Primary |
Addresses
Primary practice location
13360 Coursey Blvd
Suite C
Baton Rouge, LA 70816-5024
Mailing address
10782 Oakline Dr
Baton Rouge, LA 70809-3317
Phone (225) 293-9970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5045 | Other | LA | DENTAL LISCENCE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- Louisiana State University School of Dentistry, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 770
Zachary, LA 70791
PO Box
Suite 770
Zachary, LA 70791-0770
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5045 | LA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Community Health Systems | Current | Accepting new patients | |
| Southeast Community Health Systems | Current | Accepting new patients | |
| Southeast Community Health Systems | Current | Accepting new patients |
Locations
490 Sitman St
Greensburg, LA 70441
Phone (225) 222-6059
30575 Old Baton Rouge Hwy
Hammond, LA 70403
Phone 22530620002045
6351 Main St
Zachary, LA 70791
Phone (225) 306-2055
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Greensburg, LA
- NPI 1023147113
-
- Federally Qualified Health Center (FQHC)
- Hammond, LA
- NPI 1366617367
-
- Federally Qualified Health Center (FQHC)
- Kentwood, LA
- NPI 1912458639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216598400000",
"number": "1194783464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10782 OAKLINE DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093317",
"telephone_number": "225-293-9970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13360 COURSEY BLVD",
"address_2": "SUITE C",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708165024",
"telephone_number": "225-756-1998",
"fax_number": "225-756-4337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEGISON",
"first_name": "DANIEL",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2008-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "5045",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LISCENCE NUMBER",
"identifier": "5045",
"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 Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.