Organization Active NPI

Vance G Misuraca DDS LLC

  • Dentist
  • Baton Rouge, LA
National Provider Identifier
1861587099
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4721 Issued in LA
Legal business name
VANCE G MISURACA DDS LLC
Practice address
10720 N Oak Hills Pkwy
Baton Rouge, LA 70810
Phone
(225) 766-3300
Fax
(225) 766-3387
NPI assigned
Oct 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Vance G Misuraca, DDS UCNPI 1457438707
Title
Doctor
Phone
(225) 766-3300

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
Dentist 122300000X 4721 LA Primary

Addresses

Primary practice location

10720 N Oak Hills Pkwy
Baton Rouge, LA 70810

Mailing address

10720 N Oak Hills Pkwy
Baton Rouge, LA 70810
Phone (225) 766-3300

National Provider Directory

National Provider Directory

Locations

10720 N Oak Hills Pkwy
Baton Rouge, LA 70810
Phone (225) 766-3300

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861587099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10720 N OAK HILLS PKWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70810",
            "telephone_number": "225-766-3300",
            "fax_number": "225-766-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10720 N OAK HILLS PKWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70810",
            "telephone_number": "225-766-3300",
            "fax_number": "225-766-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCE G MISURACA DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MISURACA",
        "authorized_official_first_name": "VANCE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "225-766-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS UC"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "4721",
            "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 Aug 22, 2020; 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.