NPIMap

Organization Active NPI

Augustus Alonzo Hall III DDS LLC

  • Dental Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1760888705
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5478 Issued in LA
Legal business name
AUGUSTUS ALONZO HALL III DDS LLC
Practice address
8220 Goodwood Blvd
#3B
Baton Rouge, LA 70806-7741
Phone
(225) 928-9838
NPI assigned
Nov 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Authorized official

Name
Dr. Augustus A Hall III, DDSNPI 1548393903
Title
President
Phone
(225) 928-9838

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
Dental Clinic/Center 261QD0000X 5478 LA Primary

Addresses

Primary practice location

8220 Goodwood Blvd
#3B
Baton Rouge, LA 70806-7741

Mailing address

8220 Goodwood Blvd
#3B
Baton Rouge, LA 70806-7741

Other identifiers 1

IdentifierTypeStateIssuer
1854786MedicaidLA

National Provider Directory

National Provider Directory

Locations

8220 Goodwood Blvd
Ste 3B
Baton Rouge, LA 70806
Phone (225) 928-9838

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": "1416268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1760888705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 GOODWOOD BLVD",
            "address_2": "#3B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708067741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 GOODWOOD BLVD",
            "address_2": "#3B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708067741",
            "telephone_number": "225-928-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTUS ALONZO HALL III DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "AUGUSTUS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-928-9838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "LA",
            "license": "5478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1854786",
            "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 Nov 18, 2014; 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.