Active NPI
Billy Frederick Booty Jr., DDS
- Dentist
- Baton Rouge, LA
National Provider Identifier
1386703544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5311
- Practice address
- 1962 O' Neal Lane
#A & B
Baton Rouge, LA 70816 - Phone
- (225) 753-5303
- Fax
- (225) 753-3921
- NPI assigned
- Dec 6, 2006
- Last updated
- Jul 29, 2015
- 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 | 5311 | LA | Primary |
Addresses
Primary practice location
1962 O' Neal Lane
#A & B
Baton Rouge, LA 70816
Mailing address
1962 O' Neal Lane
#A & B
Baton Rouge, LA 70816
Phone (225) 753-5303
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 |
|---|---|---|---|
| 5311 | LA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438128000000",
"number": "1386703544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1962 O' NEAL LANE",
"address_2": "#A & B",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70816",
"telephone_number": "225-753-5303",
"fax_number": "225-753-3921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1962 O' NEAL LANE",
"address_2": "#A & B",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70816",
"telephone_number": "225-753-5303",
"fax_number": "225-753-3921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOTY",
"first_name": "BILLY",
"middle_name": "FREDERICK",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2015-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "5311",
"primary": true
}
],
"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 Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.