Organization Active NPI

Aubrey a. Baudean, Jr., DDS

  • Dentist
  • Marrero, LA
National Provider Identifier
1982892584
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3927 Issued in LA
Legal business name
AUBREY A. BAUDEAN, JR., DDS
Practice address
2446 Barataria Blvd
Suite C
Marrero, LA 70072-5345
Phone
(504) 347-1015
NPI assigned
Oct 9, 2007
Last updated
Oct 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Dr. Aubrey A Baudean Jr., GENERAL DENTIST
Title
Owner
Phone
(504) 347-1015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3927 LA Primary

Addresses

Primary practice location

2446 Barataria Blvd
Suite C
Marrero, LA 70072-5345

Mailing address

2446 Barataria Blvd
Suite C
Marrero, LA 70072-5345
Phone (504) 347-1015

Other names 1

  • A Professional Dental Corp Other name

National Provider Directory

National Provider Directory

Locations

3000 Lake St
Lake Charles, LA 70601

2446 Barataria Blvd
Ste C
Marrero, LA 70072
Phone (504) 347-1015

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1982892584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2446 BARATARIA BLVD",
            "address_2": "SUITE C",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700725345",
            "telephone_number": "504-347-1015",
            "fax_number": "504-341-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2446 BARATARIA BLVD",
            "address_2": "SUITE C",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700725345",
            "telephone_number": "504-347-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBREY A. BAUDEAN, JR., DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "BAUDEAN",
        "authorized_official_first_name": "AUBREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-347-1015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "GENERAL DENTIST"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "3927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Professional Dental Corp",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marrero, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.