Individual provider Active NPI

Philip V. Gastinel, D.D.S.

  • General Practice Dentistry
  • Baton Rouge, LA
National Provider Identifier
1871709444
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3285 Issued in LA
Practice address
10552 S Glenstone PL
Baton Rouge, LA 70810-2875
Phone
(225) 767-6400
Fax
(225) 768-9912
NPI assigned
May 14, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3285 LA Primary

Addresses

Primary practice location

10552 S Glenstone PL
Baton Rouge, LA 70810-2875

Mailing address

10552 S Glenstone PL
Baton Rouge, LA 70810-2875
Phone (225) 767-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160607002129 LA Order and Referring Only - DentistPractitioner - Dentist 7810287612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Holly Clark, LLC CurrentSince Dec 26, 2021 Accepting new patients
Gastinel and Nash, P.L.L.C. General Practice Past Accepting new patients

Locations

10552 S Glenstone Pl
Baton Rouge, LA 70810
Phone (225) 767-6400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871709444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10552 S GLENSTONE PL",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102875",
            "telephone_number": "225-767-6400",
            "fax_number": "225-768-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10552 S GLENSTONE PL",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102875",
            "telephone_number": "225-767-6400",
            "fax_number": "225-768-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASTINEL",
        "first_name": "PHILIP",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "3285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.