NPIMap

Organization Active NPI

Dr Maria K Blake

  • General Practice Dentistry
  • Hammond, LA
National Provider Identifier
1891719670
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DR MARIA K BLAKE
Practice address
912 W Morris Ave
Hammond, LA 70403-4032
Phone
(985) 345-9481
NPI assigned
Jul 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Authorized official

Name
Dr. Maria K Blake, DDSFAGDNPI 1518118207
Title
Dentist
Phone
(985) 345-9481

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

912 W Morris Ave
Hammond, LA 70403-4032

Mailing address

912 W Morris Ave
Hammond, LA 70403-4032
Phone (985) 345-9481

National Provider Directory

National Provider Directory

Locations

912 W Morris Ave
Hammond, LA 70403
Phone (985) 345-9481

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1891719670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 W MORRIS AVE",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704034032",
            "telephone_number": "985-345-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 W MORRIS AVE",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704034032",
            "telephone_number": "985-345-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MARIA K BLAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "985-345-9481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDSFAGD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.