Organization Active NPI

Dr Bruce M Lovelace III a Professional Corporation

  • Periodontics
  • Baton Rouge, LA
National Provider Identifier
1235205659
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
DR BRUCE M LOVELACE III A PROFESSIONAL CORPORATION
Practice address
8202 Kelwood Avenue
Baton Rouge, LA 70806
Phone
(225) 928-0798
Fax
(225) 927-8115
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Dr. Bruce Merle Lovelace III, DDSNPI 1245329713
Title
President
Phone
(225) 928-0798

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
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

8202 Kelwood Avenue
Baton Rouge, LA 70806

Mailing address

8202 Kelwood Avenue
Baton Rouge, LA 70806
Phone (225) 928-0798

National Provider Directory

National Provider Directory

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": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1235205659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 KELWOOD AVENUE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70806",
            "telephone_number": "225-928-0798",
            "fax_number": "225-927-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8202 KELWOOD AVENUE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70806",
            "telephone_number": "225-928-0798",
            "fax_number": "225-927-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BRUCE M LOVELACE III A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "LOVELACE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "MERLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-928-0798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "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 Jun 12, 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.