NPIMap

Organization Active NPI

C Farrell Fruge Jr DDS

  • Prosthetic/Orthotic Supplier
  • Baton Rouge, LA
National Provider Identifier
1730497942
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
4180 Issued in LA
Legal business name
C FARRELL FRUGE JR DDS
Practice address
11811 Coursey Blvd
Suite a
Baton Rouge, LA 70816-4490
Phone
(225) 292-9700
Fax
(225) 292-9701
NPI assigned
Sep 22, 2010
Last updated
Sep 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

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

Authorized official

Name
Dr. Cecil Farrell Fruge Jr., D.D.S.NPI 1629143425
Title
Owner
Phone
(225) 292-9700

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
Prosthetic/Orthotic Supplier 335E00000X 4180 LA Primary

Addresses

Primary practice location

11811 Coursey Blvd
Suite a
Baton Rouge, LA 70816-4490

Mailing address

11811 Coursey Blvd
Suite a
Baton Rouge, LA 70816-4490
Phone (225) 292-9700

National Provider Directory

National Provider Directory

Locations

11811 Coursey Blvd
Ste A
Baton Rouge, LA 70816
Phone (225) 292-9700

Practitioners & affiliated clinicians

Practitioners 1

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": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1730497942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11811 COURSEY BLVD",
            "address_2": "SUITE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164490",
            "telephone_number": "225-292-9700",
            "fax_number": "225-292-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11811 COURSEY BLVD",
            "address_2": "SUITE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164490",
            "telephone_number": "225-292-9700",
            "fax_number": "225-292-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C FARRELL FRUGE JR DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "FRUGE",
        "authorized_official_first_name": "CECIL",
        "authorized_official_middle_name": "FARRELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-292-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "LA",
            "license": "4180",
            "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 Sep 19, 2011; 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.