Active NPI
Laura Comeau DDS PC
- General Practice Dentistry
- Santa Fe, NM
National Provider Identifier
1962718213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DD2797
- Legal business name
- LAURA COMEAU DDS PC
- Practice address
- 2100 Calle de la Vuelta Unit E105
Santa Fe, NM 87505-4819 - Phone
- (505) 570-9578
- NPI assigned
- Aug 25, 2010
- Last updated
- Aug 25, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Laura Comeau, DDS
- Title
- Dentist
- Phone
- (303) 921-4847
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DD2797 | NM | Primary |
Addresses
Primary practice location
2100 Calle de la Vuelta Unit E105
Santa Fe, NM 87505-4819
Mailing address
2100 Calle de la Vuelta Unit E105
Santa Fe, NM 87505-4819
Phone (505) 570-9578
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9184626 | Other | NM | DORAL |
| 77532 | Medicaid | NM |
National Provider Directory
National Provider DirectoryLocations
2100 Calle de la Vuelta
Unit E105
Santa Fe, NM 87505
Phone (505) 570-9578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282694400000",
"number": "1962718213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 CALLE DE LA VUELTA UNIT E105",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054819",
"telephone_number": "505-570-9578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 CALLE DE LA VUELTA UNIT E105",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054819",
"telephone_number": "505-570-9578"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAURA COMEAU DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-25",
"last_updated": "2010-08-25",
"status": "A",
"authorized_official_last_name": "COMEAU",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "303-921-4847",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NM",
"license": "DD2797",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORAL",
"identifier": "9184626",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77532",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.