Jared Eades, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7184 Issued in LA

Practice address

8670 Airline Hwy Ste a
Baton Rouge, LA 70815-8128

Phone

(225) 927-8968

NPI assigned

May 19, 2021

Last updated

May 19, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Locations

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.

• Michael P Juban DDS and J Cody Cowen North Apdllc

  dba Southern Oaks Family Dental Care

  • General Practice Dentistry
  • Baton Rouge, LA
  • NPI 1033733746
  NPD

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1912571456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17034 BRADFORD AVE",
            "city": "GREENWELL SPRINGS",
            "state": "LA",
            "postal_code": "707395766",
            "telephone_number": "501-281-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8670 AIRLINE HWY STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708158128",
            "telephone_number": "225-927-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EADES",
        "first_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "7184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerard Dynes, MD
• Briana Deshun Dyson
• Peri Dyson
• Michael F Dzeda, M.D.
• E C Dean O D
• M Wren Eversberg Eagleton, OTR/L
• Maluan Ealy
• Miracle Danielle Ealy
• Robert N. Earhart, MD
• Earl K Long Medical Center

• General Practice Dentistry in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.