NPIMap

Organization Active NPI

Exceptional Dental of Coursey, LLC

  • General Practice Dentistry
  • Baton Rouge, LA
National Provider Identifier
1609475128
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EXCEPTIONAL DENTAL OF COURSEY, LLC
Practice address
12045 Coursey BVLD.
Baton Rouge, LA 70816
Phone
(225) 292-8783
Fax
(225) 292-8030
NPI assigned
Oct 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Authorized official

Name
Mrs. Samantha Coats
Title
Insurance Credentialing Liaison
Phone
(504) 609-2599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

12045 Coursey BVLD.
Baton Rouge, LA 70816

Mailing address

12045 Coursey Blvd
Baton Rouge, LA 70816-4478
Phone (225) 292-8783

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL coursey@exceptionaldentalofla.com
Other URL coursey@exceptionaldentalofla.com
Other URL coursey@exceptionaldentalofla.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1609475128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12045 COURSEY BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164478",
            "telephone_number": "225-292-8783",
            "fax_number": "225-292-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12045 COURSEY BVLD.",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70816",
            "telephone_number": "225-292-8783",
            "fax_number": "225-292-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL DENTAL OF COURSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "COATS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "INSURANCE CREDENTIALING LIAISON",
        "authorized_official_telephone_number": "504-609-2599",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "coursey@exceptionaldentalofla.com",
            "affiliation": "N",
            "address_1": "12045 Coursey Bvld.",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "70816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "coursey@exceptionaldentalofla.com",
            "affiliation": "N",
            "address_1": "12045 Coursey Bvld.",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "70816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "coursey@exceptionaldentalofla.com",
            "affiliation": "N",
            "address_1": "12045 Coursey Bvld.",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "70816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 26, 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.