NPIMap

Organization Active NPI

Maxillofacial Imaging of Baton Rouge, LLC

  • Dental Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1932490208
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3462 Issued in LA
Legal business name
MAXILLOFACIAL IMAGING OF BATON ROUGE, LLC
Practice address
7967 Office Park Blvd
Baton Rouge, LA 70809-7646
Phone
(225) 218-0225
NPI assigned
Apr 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Authorized official

Name
Dr. Daniel J Richardson, DDS
Title
President
Phone
(225) 218-0225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3462 LA Primary

Addresses

Primary practice location

7967 Office Park Blvd
Baton Rouge, LA 70809-7646

Mailing address

7967 Office Park Blvd
Baton Rouge, LA 70809-7646
Phone (225) 218-0225

National Provider Directory

National Provider Directory

Locations

7967 Office Park Blvd
Baton Rouge, LA 70809
Phone (225) 218-0225

NPI Registry JSON

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1932490208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7967 OFFICE PARK BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708097646",
            "telephone_number": "225-218-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7967 OFFICE PARK BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708097646",
            "telephone_number": "225-218-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXILLOFACIAL IMAGING OF BATON ROUGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-218-0225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "LA",
            "license": "3462",
            "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 Apr 21, 2011; 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.