NPIMap

Organization Active NPI

DDP Outreach, LLC

  • Multi-Specialty Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1669992780
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
DDP OUTREACH, LLC
Practice address
12097 Old Hammond Hwy Ste I2
Baton Rouge, LA 70816-8679
Phone
(225) 802-6914
NPI assigned
Jun 20, 2017
Last updated
May 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Authorized official

Name
Ja'Mal TitusNPI 1366896417
Title
Owner/Ceo
Phone
(225) 802-6914

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

12097 Old Hammond Hwy Ste I2
Baton Rouge, LA 70816-8679

Mailing address

12097 Old Hammond Hwy Ste I2
Baton Rouge, LA 70816-8679
Phone (225) 831-9249

Other practice location 1

13151 Emily Rd Ste 120
Dallas, TX 75240-8981
Phone (225) 802-6914

National Provider Directory

National Provider Directory

Locations

12097 Old Hammond Hwy
Ste I2
Baton Rouge, LA 70816
Phone (225) 802-6914

13151 Emily Rd
Ste 120
Dallas, TX 75240
Phone (225) 802-6914

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1669992780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12097 OLD HAMMOND HWY STE I2",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168679",
            "telephone_number": "225-831-9249",
            "fax_number": "225-831-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12097 OLD HAMMOND HWY STE I2",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168679",
            "telephone_number": "225-802-6914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13151 Emily Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752408981",
            "country_code": "US",
            "telephone_number": "225-802-6914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DDP OUTREACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2019-05-09",
        "status": "A",
        "authorized_official_last_name": "TITUS",
        "authorized_official_first_name": "JA'MAL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "225-802-6914"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 May 9, 2019; 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.