Active NPI
Blake Everett Price, D.D.S.
- General Practice Dentistry
- Lake Charles, LA
National Provider Identifier
1073873246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6282
- Practice address
- 3451 Nelson Rd
Lake Charles, LA 70605-1209 - Phone
- (337) 479-2273
- Fax
- (337) 478-2212
- NPI assigned
- May 22, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6282 | LA | Primary |
Addresses
Primary practice location
3451 Nelson Rd
Lake Charles, LA 70605-1209
Mailing address
3451 Nelson Rd
Lake Charles, LA 70605-1209
Phone (337) 479-2273
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6282 | LA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362096000000",
"number": "1073873246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3451 NELSON RD",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706051209",
"telephone_number": "337-479-2273",
"fax_number": "337-478-2212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3451 NELSON RD",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706051209",
"telephone_number": "337-479-2273",
"fax_number": "337-478-2212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "BLAKE",
"middle_name": "EVERETT",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-22",
"last_updated": "2013-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "6282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.