Active NPI
Jonathan Gold, DMD
- Dentist
- Baton Rouge, LA
National Provider Identifier
1255621751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6143
- Practice address
- 3455 Government St
Baton Rouge, LA 70806-5717 - Phone
- (225) 341-8333
- NPI assigned
- Apr 18, 2011
- Last updated
- Apr 18, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6143 | LA | Primary |
| Dentist | 122300000X | D9550 | OR |
Addresses
Primary practice location
3455 Government St
Baton Rouge, LA 70806-5717
Mailing address
3057 Gentilly Blvd
New Orleans, LA 70122-3807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6143 | LA | MD | Dentist |
| D9550 | OR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303084800000",
"number": "1255621751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3057 GENTILLY BLVD",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701223807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 GOVERNMENT ST",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708065717",
"telephone_number": "225-341-8333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLD",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-18",
"last_updated": "2011-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "6143",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D9550",
"primary": false
}
],
"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 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.