Individual provider Active NPI

Michael Harvey McCombs, D.D.S.

  • General Practice Dentistry
  • Metairie, LA
National Provider Identifier
1700800323
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3614 Issued in LA
Practice address
3237 Metairie Rd
Metairie, LA 70001-5214
Phone
(504) 831-8233
Fax
(504) 830-4576
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3614 LA Primary

Addresses

Primary practice location

3237 Metairie Rd
Metairie, LA 70001-5214

Mailing address

3237 Metairie Rd
Metairie, LA 70001-5214
Phone (504) 831-8233

Other identifiers 1

IdentifierTypeStateIssuer
1836141MedicaidLA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160310000604 LA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 7810293255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3614LAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Lsu Medical Center Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700800323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3237 METAIRIE RD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700015214",
            "telephone_number": "504-831-8233",
            "fax_number": "504-830-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3237 METAIRIE RD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700015214",
            "telephone_number": "504-831-8233",
            "fax_number": "504-830-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOMBS",
        "first_name": "MICHAEL",
        "middle_name": "HARVEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "3614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1836141",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.