Active NPI
Daniel C Comeaux, DC
- Chiropractor
- Monroe, LA
National Provider Identifier
1164761037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1667
- Practice address
- 1112 Oliver Rd
Monroe, LA 71201-5714 - Phone
- (318) 512-4951
- NPI assigned
- Feb 12, 2013
- Last updated
- Oct 4, 2013
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1667 | LA | Primary |
Addresses
Primary practice location
1112 Oliver Rd
Monroe, LA 71201-5714
Mailing address
363 Slay Rd
Olla, LA 71465-6537
Phone (318) 623-8157
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1112 Oliver Rd
Monroe, LA 71201-5714
Phone (318) 512-4951
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1667 | LA | MD | Psychologist |
Organizations & group practices 1
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.
-
- Chiropractor
- Monroe, LA
- NPI 1003156357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380844800000",
"number": "1164761037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "363 SLAY RD",
"city": "OLLA",
"state": "LA",
"postal_code": "714656537",
"telephone_number": "318-623-8157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 OLIVER RD",
"city": "MONROE",
"state": "LA",
"postal_code": "712015714",
"telephone_number": "318-512-4951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMEAUX",
"first_name": "DANIEL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-12",
"last_updated": "2013-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "1667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.