Active NPI
William J. Dimattia, MD
- Audiologist
- Baton Rouge, LA
National Provider Identifier
1497005607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 10025
- Practice address
- 10345 Pecue LN
Baton Rouge, LA 70810-3510 - Phone
- (225) 753-8410
- Fax
- (225) 753-8419
- NPI assigned
- Sep 14, 2012
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 10025 | LA | Primary |
Addresses
Primary practice location
10345 Pecue LN
Baton Rouge, LA 70810-3510
Mailing address
10345 Pecue LN
Baton Rouge, LA 70810-3510
Phone (225) 753-8410
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10025 | LA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347580800000",
"number": "1497005607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10345 PECUE LN",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708103510",
"telephone_number": "225-753-8410",
"fax_number": "225-753-8419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10345 PECUE LN",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708103510",
"telephone_number": "225-753-8410",
"fax_number": "225-753-8419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMATTIA",
"first_name": "WILLIAM",
"middle_name": "J.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-14",
"last_updated": "2012-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "LA",
"license": "10025",
"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 Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.