Individual provider Active NPI

Gerald A Baudin II, D.D.S.

  • General Practice Dentistry
  • Abbeville, LA
National Provider Identifier
1932325941
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
LA5546 Issued in LA
Practice address
2623 South Dr
Abbeville, LA 70510-4044
Phone
(337) 893-6033
Fax
(337) 893-6074
NPI assigned
Apr 18, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 LA5546 LA Primary

Addresses

Primary practice location

2623 South Dr
Abbeville, LA 70510-4044

Mailing address

2623 South Dr
Abbeville, LA 70510-4044
Phone (337) 893-6033

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
I20151202000039 LA Order and Referring Only - DentistPractitioner - Dentist 8325348071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LA5546LAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gerald a Baudin II D D S a Professional Corporation General Practice Past Accepting new patients
Dr Gerald Baudin DDS a Dental Corporation General Practice Past Accepting new patients

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932325941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 SOUTH DR",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705104044",
            "telephone_number": "337-893-6033",
            "fax_number": "337-893-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 SOUTH DR",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705104044",
            "telephone_number": "337-893-6033",
            "fax_number": "337-893-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUDIN",
        "first_name": "GERALD",
        "middle_name": "A",
        "name_suffix": "II",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "LA5546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abbeville, LA

Sources for this page

Verify at the official NPI Registry.