NPIMap

Organization Active NPI

Affordable Dental Care

  • General Practice Dentistry
  • Baton Rouge, LA
National Provider Identifier
1740447424
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4891 Issued in LA
Legal business name
AFFORDABLE DENTAL CARE
Practice address
5151 Plank Rd
Ste 17-a
Baton Rouge, LA 70805
Phone
(225) 355-3070
Fax
(225) 355-6305
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Authorized official

Name
Dr. Leroy Koschel, DDSNPI 1992830350
Title
Doctor
Phone
(225) 355-3070

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 SINGLE SPECIALTY GROUP 1223G0001X 4891 LA Primary

Addresses

Primary practice location

5151 Plank Rd
Ste 17-a
Baton Rouge, LA 70805

Mailing address

5151 Plank Rd
Ste 17-a
Baton Rouge, LA 70805
Phone (225) 355-3070

Other identifiers 1

IdentifierTypeStateIssuer
1880973MedicaidLA

National Provider Directory

National Provider Directory

Locations

5151 Plank Rd
Ste 17A
Baton Rouge, LA 70805
Phone (225) 355-3070

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": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1740447424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 PLANK RD",
            "address_2": "STE 17-A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70805",
            "telephone_number": "225-355-3070",
            "fax_number": "225-355-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 PLANK RD",
            "address_2": "STE 17-A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70805",
            "telephone_number": "225-355-3070",
            "fax_number": "225-355-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "KOSCHEL",
        "authorized_official_first_name": "LEROY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "225-355-3070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "4891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1880973",
            "state": "LA"
        }
    ],
    "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 Jul 11, 2012; 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.