NPIMap

Organization Active NPI

Edwards Premier Dental Care, LLC

  • General Practice Dentistry
  • Baton Rouge, LA
National Provider Identifier
1821124876
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EDWARDS PREMIER DENTAL CARE, LLC
Practice address
5188 Highland Rd.
Baton Rouge, LA 70808-6527
Phone
(225) 766-8107
Fax
(225) 766-2382
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Authorized official

Name
Dr. Robert Joseph Edwards, DDS
Title
Dentist/Owner
Phone
(225) 766-8107

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4900 LA
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5188 Highland Rd.
Baton Rouge, LA 70808-6527

Mailing address

5188 Highland Rd.
Baton Rouge, LA 70808-6527
Phone (225) 766-8107

Other names 1

  • Premier Dental Care Former legal business name

National Provider Directory

National Provider Directory

Locations

5188 Highland Rd
Baton Rouge, LA 70808
Phone (225) 766-8107

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1821124876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5188 HIGHLAND RD.",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708086527",
            "telephone_number": "225-766-8107",
            "fax_number": "225-766-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5188 HIGHLAND RD.",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708086527",
            "telephone_number": "225-766-8107",
            "fax_number": "225-766-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS PREMIER DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "225-766-8107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "LA",
            "license": "4900",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Dental Care",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Premier Dental Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Mar 3, 2023; 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.