Active NPI
Augustus Alonzo Hall III, DDS
- General Practice Dentistry
- Baton Rouge, LA
National Provider Identifier
1548393903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5478
- Practice address
- 8427 Kelwood Ave
Baton Rouge, LA 70806-4806 - Phone
- (225) 928-9838
- Fax
- (225) 928-7838
- NPI assigned
- Mar 14, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5478 | LA | Primary |
Addresses
Primary practice location
8427 Kelwood Ave
Baton Rouge, LA 70806-4806
Mailing address
8427 Kelwood Ave
Baton Rouge, LA 70806-4806
Phone (225) 928-9838
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 |
|---|---|---|---|
| 5478 | LA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Augustus Alonzo Hall III DDS LLC | Past | Accepting new patients |
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.
-
- Dental Clinic/Center
- Baton Rouge, LA
- NPI 1760888705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595289600000",
"number": "1548393903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8427 KELWOOD AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708064806",
"telephone_number": "225-928-9838",
"fax_number": "225-928-7838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8427 KELWOOD AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708064806",
"telephone_number": "225-928-9838",
"fax_number": "225-928-7838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "AUGUSTUS",
"middle_name": "ALONZO",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2020-07-21",
"certification_date": "2020-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "5478",
"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 21, 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.