Andre Maurice Fruge, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

4784 Issued in LA

Practice address

12061 Bricksome Ave
Baton Rouge, LA 70816-2339

Phone

(225) 292-6991

Fax

(225) 292-7210

NPI assigned

Feb 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Fruge Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Baton Rouge, LA
  • NPI 1407972268
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891830212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12061 BRICKSOME AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162339",
            "telephone_number": "225-292-6991",
            "fax_number": "225-292-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12061 BRICKSOME AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162339",
            "telephone_number": "225-292-6991",
            "fax_number": "225-292-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUGE",
        "first_name": "ANDRE",
        "middle_name": "MAURICE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "LA",
            "license": "4784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Smart Gay Frischhertz, M.D.
• James Andrew Froelich, M.D.
• Frontpage Transportation
• Joel Fruchtnicht, SLP
• Fruge Orthodontics
• Cecil Farrell Fruge III, DDS
• Cecil Farrell Fruge Jr., D.D.S.
• Corrie Borne Fruge
• James Bradley Fruge, DDS, MS
• James F Fruge Jr., DDS

• Orthodontics and Dentofacial Orthopedics Dentistry in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.