Active NPI
Kenneth L Combs, M.D.
- Specialist
- New Orleans, LA
National Provider Identifier
1063433571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD011756
- Practice address
- 2622 Jena St
New Orleans, LA 70115-6325 - Phone
- (504) 895-0361
- Fax
- (504) 895-5631
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MD011756 | LA | Primary |
Addresses
Primary practice location
2622 Jena St
New Orleans, LA 70115-6325
Mailing address
2622 Jena St
New Orleans, LA 70115-6325
Phone (504) 895-0361
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154563 | Medicaid | LA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD011756 | LA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281916800000",
"number": "1063433571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2622 JENA ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701156325",
"telephone_number": "504-895-0361",
"fax_number": "504-895-5631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2622 JENA ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701156325",
"telephone_number": "504-895-0361",
"fax_number": "504-895-5631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMBS",
"first_name": "KENNETH",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2010-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "MD011756",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1154563",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.