Active NPI
Dale C Betterton, M.D.
- Family Medicine Physician
- New Orleans, LA
National Provider Identifier
1114112364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD201025
- Practice address
- 5501 Read Blvd
New Orleans, LA 70127-3103 - Phone
- (504) 245-7951
- Fax
- (504) 245-7935
- NPI assigned
- Sep 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD201025 | LA | Primary |
Addresses
Primary practice location
5501 Read Blvd
New Orleans, LA 70127-3103
Mailing address
800 University Dr
Dodge City, KS 67801-2750
Phone (865) 207-9011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52917 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD201025 | LA | MD | Family Medicine Physician |
Interoperability endpoints
- dale.betterton.1@24739.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189468800000",
"number": "1114112364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 UNIVERSITY DR",
"city": "DODGE CITY",
"state": "KS",
"postal_code": "678012750",
"telephone_number": "865-207-9011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5501 READ BLVD",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701273103",
"telephone_number": "504-245-7951",
"fax_number": "504-245-7935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETTERTON",
"first_name": "DALE",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-11",
"last_updated": "2007-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "MD201025",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "52917",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.