NPIMap

Organization Active NPI

Professional Dental Partners

  • Dental Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1205034493
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3847 Issued in LA
Legal business name
PROFESSIONAL DENTAL PARTNERS
Practice address
641 E Airport Ave Ste a
Baton Rouge, LA 70806-6545
Phone
(225) 926-7782
NPI assigned
Jul 10, 2007
Last updated
Apr 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Michael Lala, DDSNPI 1457559635
Title
Owner
Phone
(225) 926-7782

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3847 LA Primary

Addresses

Primary practice location

641 E Airport Ave Ste a
Baton Rouge, LA 70806-6545

Mailing address

641 E Airport Ave Ste a
Baton Rouge, LA 70806-6545
Phone (225) 926-7782

National Provider Directory

National Provider Directory

Locations

641 E Airport Ave
Ste A
Baton Rouge, LA 70806
Phone (225) 926-7782

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1205034493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 E AIRPORT AVE STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066545",
            "telephone_number": "225-926-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 E AIRPORT AVE STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066545",
            "telephone_number": "225-926-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL DENTAL PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "LALA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-926-7782",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "LA",
            "license": "3847",
            "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 Apr 22, 2008; 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.