Active NPI
Luke Baumgartner, DDS
- Dentist
- Denham Springs, LA
National Provider Identifier
1417525668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7176
- Practice address
- 27949 Juban Rd
Denham Springs, LA 70726-7915 - Phone
- (985) 789-5479
- NPI assigned
- Jun 15, 2021
- 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 | 7176 | LA | Primary |
Addresses
Primary practice location
27949 Juban Rd
Denham Springs, LA 70726-7915
Mailing address
PO Box 1540
Abita Springs, LA 70420-1540
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210629002630 | LA | Order and Referring Only - Dentist | 7618378571 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7176 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623715200000",
"number": "1417525668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1540",
"city": "ABITA SPRINGS",
"state": "LA",
"postal_code": "704201540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27949 JUBAN RD",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707267915",
"telephone_number": "985-789-5479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMGARTNER",
"first_name": "LUKE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-15",
"last_updated": "2021-06-15",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "7176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denham Springs, LA
- Leslie D Barnett, MSW, LCSW
- Emily Ann Basile
- Sion Desre Basso
- Baton Rouge General Physicians Medical Group, LLC (Baton Rouge General Physicians - Denham Springs)
- Baton Rouge General Physicians, Inc. (Baton Rouge General Physicians Denham Springs)
- Bayoutransit Solutions
- Amber Bazar
- Marrene Williams Beatty, LCSW-BACS
- Beaver Creek Health & Rehab Center (Beaver Creek Health & Rehab)
- Ruth Ann Beckley
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.