Organization Active NPI

Laura Comeau DDS PC

  • General Practice Dentistry
  • Santa Fe, NM
National Provider Identifier
1962718213
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DD2797 Issued in NM
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9184626OtherNMDORAL
77532MedicaidNM

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.