NPIMap

Individual provider Active NPI

Michael Phillip Juban, D.D.S.

  • General Practice Dentistry
  • Baton Rouge, LA
National Provider Identifier
1942414925
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5646 Issued in LA
Practice address
8564 Jefferson Hwy
Suite a
Baton Rouge, LA 70809-2230
Phone
(225) 927-8663
Fax
(225) 923-2192
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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 5646 LA Primary

Addresses

Primary practice location

8564 Jefferson Hwy
Suite a
Baton Rouge, LA 70809-2230

Mailing address

8564 Jefferson Hwy
Suite a
Baton Rouge, LA 70809-2230
Phone (225) 927-8663

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michael P Juban DDS and John Cody Cowen DDS, Jefferson, a Pdllc General Practice Current Accepting new patients
Livingston Family Dental. LLC General Practice Current Accepting new patients
Watson Family Dental LLC General Practice Current Accepting new patients

Locations

8564 Jefferson Hwy
Ste A
Baton Rouge, LA 70809
Phone (225) 927-8663

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1942414925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8564 JEFFERSON HWY",
            "address_2": "SUITE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092230",
            "telephone_number": "225-927-8663",
            "fax_number": "225-923-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8564 JEFFERSON HWY",
            "address_2": "SUITE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092230",
            "telephone_number": "225-927-8663",
            "fax_number": "225-923-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUBAN",
        "first_name": "MICHAEL",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5646",
            "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 Sep 17, 2015; 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.