Grant Pearce Reggio, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

7510 Issued in LA

Practice address

806 Jefferson Ter
New Iberia, LA 70560-5727

Phone

(337) 365-4945

NPI assigned

Mar 11, 2024

Last updated

Apr 17, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Iberia Comprehensive Community Health Center,Inc.

  • Federally Qualified Health Center (FQHC)
  • New Iberia, LA
  • NPI 1922046549
  NPD (past)

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1053179333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 GENERAL HAIG ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701243531",
            "telephone_number": "504-312-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 JEFFERSON TER",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705605727",
            "telephone_number": "337-365-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGGIO",
        "first_name": "GRANT",
        "middle_name": "PEARCE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-11",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "7510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gillian Redlich, M.D.
• Joni Melancon Reed, FNP
• Paul Reed
• George Eugene Rees, MD
• Mary Anne Reeser, RD/LND
• Rehab Xcel - New Iberia
• Brittany Culotta Renard, LAC
• Donald Ray Rener Sr.
• Richard a Soileau (Soileau's Pharmacy)
• Bobby John Richard Jr., MS

• Dentist in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.