Individual provider Active NPI

Jeff D. Ellard, D.D.S.

  • Pediatric Dentistry
  • Baton Rouge, LA
National Provider Identifier
1376547364
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
3507 Issued in LA
Practice address
541 Shadows LN
Ste B
Baton Rouge, LA 70806-6531
Phone
(225) 924-2010
Fax
(225) 926-5872
NPI assigned
Jun 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 3507 LA Primary

Addresses

Primary practice location

541 Shadows LN
Ste B
Baton Rouge, LA 70806-6531

Mailing address

541 Shadows LN
Ste B
Baton Rouge, LA 70806-6531
Phone (225) 924-2010

Other identifiers 1

IdentifierTypeStateIssuer
810768OtherUNITED CONCORDIA PROV. #

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

LicenseStateTypeSpecialty
3507LAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jeff Ellard DDS Apdc Pediatric Dentistry Current Accepting new patients

Locations

541 Shadows Ln
Ste B
Baton Rouge, LA 70806
Phone (225) 573-2777

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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376547364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 SHADOWS LN",
            "address_2": "STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066531",
            "telephone_number": "225-924-2010",
            "fax_number": "225-926-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 SHADOWS LN",
            "address_2": "STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066531",
            "telephone_number": "225-924-2010",
            "fax_number": "225-926-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLARD",
        "first_name": "JEFF",
        "middle_name": "D.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "LA",
            "license": "3507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROV. #",
            "identifier": "810768",
            "state": null
        }
    ],
    "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 Jul 13, 2026; 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.