Organization Active NPI

Gerald a Baudin II D D S a Professional Corporation

  • General Practice Dentistry
  • Abbeville, LA
National Provider Identifier
1295951218
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
LA5546 Issued in LA
Legal business name
GERALD A BAUDIN II D D S A PROFESSIONAL CORPORATION
Practice address
2623 South Dr
Abbeville, LA 70510-4044
Phone
(337) 893-6033
Fax
(337) 893-6074
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gerlald A Baudin II, DDS
Title
Managing Director
Phone
(337) 893-6033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X LA5546 LA Primary

Addresses

Primary practice location

2623 South Dr
Abbeville, LA 70510-4044

Mailing address

2623 South Dr
Abbeville, LA 70510-4044
Phone (337) 893-6033

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295951218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 SOUTH DR",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705104044",
            "telephone_number": "337-893-6033",
            "fax_number": "337-893-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 SOUTH DR",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705104044",
            "telephone_number": "337-893-6033",
            "fax_number": "337-893-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD A BAUDIN II D D S A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAUDIN",
        "authorized_official_first_name": "GERLALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "337-893-6033",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "LA5546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abbeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.