Active NPI
Glenn Eugene Appleton, D.D.S.
- Dentist
- Baton Rouge, LA
National Provider Identifier
1255427563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- LA4679
- Practice address
- 7742 Office Park Blvd Ste A1
Baton Rouge, LA 70809-8636 - Phone
- (225) 201-1000
- Fax
- (225) 201-1005
- NPI assigned
- Oct 5, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | LA4679 | LA | Primary |
Addresses
Primary practice location
7742 Office Park Blvd Ste A1
Baton Rouge, LA 70809-8636
Mailing address
7742 Office Park Blvd Ste A1
Baton Rouge, LA 70809-8636
Phone (225) 201-1000
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161004000806 | LA | Order and Referring Only - Dentist | 9537457759 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LA4679 | LA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255427563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7742 OFFICE PARK BLVD STE A1",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708098636",
"telephone_number": "225-201-1000",
"fax_number": "225-201-1005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7742 OFFICE PARK BLVD STE A1",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708098636",
"telephone_number": "225-201-1000",
"fax_number": "225-201-1005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APPLETON",
"first_name": "GLENN",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "LA4679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
- Carla A Aplin, LCSW
- Apollo Behavioral Health Hospital, LLC
- Apothecare Pharmacy Baton Rouge (Apothecare Pharmacy)
- Rohith Appalaneni
- Applegate Health Services, Inc (AppleGate Recovery Baton Rouge)
- Patricia N Appleton, MSW, LCSW, DCSW
- Richard S Appleton, D.D.S.,M.S.
- Apria Healthcare LLC
- Patricia Mary Aptaker, PH.D.
- Rontavia Tyress Aranga
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.