Organization Active NPI

Periodontics Associates, LLP

  • Periodontics
  • Lafayette, LA
National Provider Identifier
1932263506
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
3129 Issued in LA
Legal business name
PERIODONTICS ASSOCIATES, LLP
Practice address
3839 W Congress St
Suite D
Lafayette, LA 70506-6000
Phone
(337) 989-0267
Fax
(337) 989-9030
NPI assigned
Dec 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark Randal Comeaux, DDSNPI 1083739486
Title
Partner
Phone
(337) 989-0267

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
Periodontics 1223P0300X 3129 LA Primary

Addresses

Primary practice location

3839 W Congress St
Suite D
Lafayette, LA 70506-6000

Mailing address

3839 W Congress St
Suite D
Lafayette, LA 70506-6000
Phone (337) 989-0267

National Provider Directory

National Provider Directory

Locations

3839 W Congress St
Ste D
Lafayette, LA 70506
Phone (337) 989-0267

Practitioners & affiliated clinicians

Practitioners 3

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": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932263506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 W CONGRESS ST",
            "address_2": "SUITE D",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066000",
            "telephone_number": "337-989-0267",
            "fax_number": "337-989-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 W CONGRESS ST",
            "address_2": "SUITE D",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066000",
            "telephone_number": "337-989-0267",
            "fax_number": "337-989-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIODONTICS ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COMEAUX",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "RANDAL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "337-989-0267",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "LA",
            "license": "3129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.