Deer Creek Imaging Center

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

DEER CREEK IMAGING CENTER

Practice address

301 W Fertitta Blvd Ste 1
Leesville, LA 71446-4665

Phone

(337) 392-1363

NPI assigned

Aug 29, 2005

Organization subpart

No

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

Authorized official

Name

Gregory D Lord, MD

Title

Managing Director

Phone

(337) 238-0167

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013900760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W FERTITTA BLVD STE 1",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464665",
            "telephone_number": "337-392-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W FERTITTA BLVD STE 1",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464665",
            "telephone_number": "337-392-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEER CREEK IMAGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LORD",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "337-238-0167",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1449253",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• D & G Specialties, Inc.
• Ashley Daite
• Heather Daniels, DNP, APRN, FNP-C
• John David De Lapp, M.D.
• Deep South Chiropractic Clinic
• Deer Creek Medical Center
• Ashley Delapp, PT
• Dental Plus LLC
• Department of Health and Hospitals
• Elfi Silva Deporter, PH.D.

• Magnetic Resonance Imaging (MRI) Clinic/Center in Leesville, LA
• Providers in Leesville, LA by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Louisiana

• 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.