Active NPI
Patricia Edmond Baranco, D.D.S.
- Dentist
- Baton Rouge, LA
National Provider Identifier
1912174681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4155
- Practice address
- 991 Maximillian St
Baton Rouge, LA 70802-6300 - Phone
- (225) 383-4450
- Fax
- (225) 344-3004
- NPI assigned
- May 13, 2008
- Last updated
- May 13, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4155 | LA | Primary |
Addresses
Primary practice location
991 Maximillian St
Baton Rouge, LA 70802-6300
Mailing address
991 Maximillian Street
Baton Rouge, LA 70802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4155 | LA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210636800000",
"number": "1912174681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "991 MAXIMILLIAN STREET",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "991 MAXIMILLIAN ST",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708026300",
"telephone_number": "225-383-4450",
"fax_number": "225-344-3004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARANCO",
"first_name": "PATRICIA",
"middle_name": "EDMOND",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-13",
"last_updated": "2008-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "4155",
"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 May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.