College Family Dentistry, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

COLLEGE FAMILY DENTISTRY, LLC

Doing business as

College Family Dentistry

Practice address

4616 Concord Ave
Baton Rouge, LA 70808-3123

Phone

(225) 926-4660

Fax

(225) 926-4660

NPI assigned

Jan 27, 2020

Last updated

Jan 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cortney Toups

Title

Office Manager

Phone

(225) 926-4640

Specialties & licenses 1

Addresses

Other names 1

• College Family Dentistry Doing business as

Locations

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.

• James Matthew Randall, DMD

  • General Practice Dentistry
  • Prairieville, LA
  • NPI 1538143003
  NPD (past)

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1891326146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 CONCORD AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708083123",
            "telephone_number": "225-926-4660",
            "fax_number": "225-926-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4616 CONCORD AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708083123",
            "telephone_number": "225-926-4660",
            "fax_number": "225-926-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "TOUPS",
        "authorized_official_first_name": "CORTNEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "225-926-4640"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "College Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyia Coleman
• Chester Chattin Coles Jr., MD
• Preston Coles
• Collaborative Minds, LLC
• Kennedy Beauchamp Colle
• Collegiate Baton Rouge
• William H Collett, LCSW
• Kaede Jacob Collette, DDS
• Rose L Colley, LCSW
• Braelyn Collier

• Dentist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.