NPIMap

Organization Active NPI

Doctors Dental 05, LLC

Doing business as Doctors Dental

  • Dental Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1578904827
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5713 Issued in LA
Legal business name
DOCTORS DENTAL 05, LLC
Doing business as
Doctors Dental
Practice address
7278 Highland Rd
Suite C
Baton Rouge, LA 70808-6607
Phone
(225) 329-1140
Fax
(225) 329-1150
NPI assigned
Jul 16, 2013
Last updated
Oct 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David Franklin Davenport, D.D.S.
Title
Owner
Phone
(985) 768-4520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5713 LA Primary

Addresses

Primary practice location

7278 Highland Rd
Suite C
Baton Rouge, LA 70808-6607

Mailing address

601 River Highland Blvd
Suite 200
Covington, LA 70433-8987
Phone (985) 768-4520

Other names 1

  • Doctors Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1578904827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 RIVER HIGHLAND BLVD",
            "address_2": "SUITE 200",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338987",
            "telephone_number": "985-768-4520",
            "fax_number": "985-310-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7278 HIGHLAND RD",
            "address_2": "SUITE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708086607",
            "telephone_number": "225-329-1140",
            "fax_number": "225-329-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS DENTAL 05, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-768-4520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "LA",
            "license": "5713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 10, 2013; 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.