NPIMap

Organization Active NPI

Fruge Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Baton Rouge, LA
National Provider Identifier
1407972268
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3141 Issued in LA
Legal business name
FRUGE ORTHODONTICS
Practice address
12061 Bricksome Ave
Baton Rouge, LA 70816-2339
Phone
(225) 292-6991
Fax
(225) 292-7210
NPI assigned
Mar 22, 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
Denise Blanchard Mitchell
Title
Accounts Manager
Phone
(225) 292-6991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 3141 LA Primary

Addresses

Primary practice location

12061 Bricksome Ave
Baton Rouge, LA 70816-2339

Mailing address

12061 Bricksome Ave
Baton Rouge, LA 70816-2339
Phone (225) 292-6991

National Provider Directory

National Provider Directory

Locations

12061 Bricksome Ave
Baton Rouge, LA 70816
Phone (225) 292-6001

Practitioners & affiliated clinicians

Practitioners 3

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": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407972268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12061 BRICKSOME AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162339",
            "telephone_number": "225-292-6991",
            "fax_number": "225-292-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12061 BRICKSOME AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162339",
            "telephone_number": "225-292-6991",
            "fax_number": "225-292-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRUGE ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "BLANCHARD",
        "authorized_official_title_or_position": "ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "225-292-6991"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "LA",
            "license": "3141",
            "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 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.