Individual provider Active NPI

David Gunter Baughman, DDS/MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Houma, LA
National Provider Identifier
1275538191
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
024890 Issued in LA
Practice address
1608 Polk St
Houma, LA 70360-6011
Phone
(985) 879-1972
Fax
(985) 879-4661
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 024890 LA Primary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 024890 LA

Addresses

Primary practice location

1608 Polk St
Houma, LA 70360-6011

Mailing address

1608 Polk St
Houma, LA 70360-6011
Phone (985) 879-1972

Other identifiers 1

IdentifierTypeStateIssuer
1850888MedicaidLA

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051229000173 LA Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 9032131438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
Louisiana State University School of Medicine in New Orleans, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oral-Facial Surgery Center ApcGroup PAC ID 4284724873, 3 clinicians

Practice addresses (Care Compare)

1608 Polk St
Houma, LA 70360-6011
Phone (985) 879-1972

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
024890LAMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Oral-Facial Surgery Center Apc Oral and Maxillofacial Surgery CurrentSince Jul 1, 2003 Accepting new patients

Locations

1608 Polk St
Houma, LA 70360
Phone (985) 879-1972

1126 Marguerite St
Ste A
Morgan City, LA 70380
Phone (985) 384-3478

Interoperability endpoints

  • Direct secure messaging: dbaughman408209@direct.ochsner.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1275538191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 POLK ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703606011",
            "telephone_number": "985-879-1972",
            "fax_number": "985-879-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 POLK ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703606011",
            "telephone_number": "985-879-1972",
            "fax_number": "985-879-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUGHMAN",
        "first_name": "DAVID",
        "middle_name": "GUNTER",
        "name_prefix": "Dr.",
        "credential": "DDS/MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "LA",
            "license": "024890",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "LA",
            "license": "024890",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1850888",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.