Organization Active NPI

Iberia Dental Associates LLC

  • Dental Clinic/Center
  • New Iberia, LA
National Provider Identifier
1891430906
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
IBERIA DENTAL ASSOCIATES LLC
Practice address
441 Charles St
New Iberia, LA 70560-3773
Phone
(337) 367-2211
Fax
(337) 367-2213
NPI assigned
May 3, 2022
Last updated
May 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Authorized official

Name
Dr. Blake Comeaux, DDSNPI 1073763876
Title
Member
Phone
(337) 519-2882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

441 Charles St
New Iberia, LA 70560-3773

Mailing address

441 Charles St
New Iberia, LA 70560-3773
Phone (337) 367-2211

National Provider Directory

National Provider Directory

Locations

441 Charles St
New Iberia, LA 70560
Phone (337) 367-2211

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1891430906",
    "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": {
        "organization_name": "IBERIA DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "COMEAUX",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "337-519-2882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.