Organization Active NPI

Michael P Juban DDS and J Cody Cowen North Apdllc

  • General Practice Dentistry
  • Baton Rouge, LA
National Provider Identifier
1639646995
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MICHAEL P JUBAN DDS AND J CODY COWEN NORTH APDLLC
Practice address
554 Colonial Dr Ste B
Baton Rouge, LA 70806-6552
Phone
(225) 923-2291
Fax
(225) 923-2325
NPI assigned
Oct 25, 2018
Organization subpart
Yes
Parent organization
MICHAEL P JUBAN DDS AND J CODY COWEN NORTH APDLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Authorized official

Name
John Cody Cowen, DDSNPI 1437269511
Title
Owner/Partner
Phone
(318) 455-4400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

554 Colonial Dr Ste B
Baton Rouge, LA 70806-6552

Mailing address

8564 Jefferson Hwy Ste a
Baton Rouge, LA 70809-2424
Phone (225) 927-8663

Other names 1

  • Southern Oaks Family Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Michael P Juban DDS and J Cody Cowen North LLC3 organizations share this tax ID, including this one
Part of
Michael P Juban DDS and J Cody Cowen North LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

554 Colonial Dr
Ste B
Baton Rouge, LA 70806
Phone (225) 923-2291

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540425600000",
    "number": "1639646995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8564 JEFFERSON HWY STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092424",
            "telephone_number": "225-927-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 COLONIAL DR STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066552",
            "telephone_number": "225-923-2291",
            "fax_number": "225-923-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL P JUBAN DDS AND J CODY COWEN NORTH APDLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHAEL P JUBAN DDS AND J CODY COWEN NORTH APDLLC",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-25",
        "status": "A",
        "authorized_official_last_name": "COWEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CODY",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "318-455-4400",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Oaks Family Dental Care",
            "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 25, 2018; 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.