Active NPI
Paula Isabel Fonseca, DDS
- Pediatric Dentistry
- Baton Rouge, LA
National Provider Identifier
1932329380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- S-430
- Practice address
- 8000 Gsri Ave
Baton Rouge, LA 70820 - Phone
- (225) 334-1782
- NPI assigned
- Apr 26, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | S-430 | LA | Primary |
Addresses
Primary practice location
8000 Gsri Ave
Baton Rouge, LA 70820
Mailing address
12565 Jefferson Hwy
Baton Rouge, LA 70816-6239
Phone (225) 802-6303
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S-430 | LA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932329380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12565 JEFFERSON HWY",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708166239",
"telephone_number": "225-802-6303",
"fax_number": "504-896-1418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 GSRI AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70820",
"telephone_number": "225-334-1782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONSECA",
"first_name": "PAULA",
"middle_name": "ISABEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "LA",
"license": "S-430",
"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 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.