Blake A. Comeaux, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5898 Issued in LA

Practice address

441 Charles St
New Iberia, LA 70560-3773

Phone

(337) 367-2211

Fax

(337) 367-2213

NPI assigned

Sep 29, 2008

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Iberia Dental Associates LLC

  • Dental Clinic/Center
  • New Iberia, LA
  • NPI 1891430906
  NPD Authorized official

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1073763876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 CHARLES ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705603773",
            "telephone_number": "337-367-2211",
            "fax_number": "337-367-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 CHARLES ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705603773",
            "telephone_number": "337-367-2211",
            "fax_number": "337-367-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMEAUX",
        "first_name": "BLAKE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-29",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Cole
• Gregory Collins, M.D.
• Laura L Collins, LMT
• Stephen A Collins, MD
• Zacahreah Saleem Collins, SIR
• Noelle Comeaux, RDN, LDN
• Community Care Assistants LLC
• Compassion Community Serv LLC
• Compassion Community Serv LLC
• Imajee Connor

• General Practice Dentistry in New Iberia, LA
• Providers in New Iberia, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.