Active NPI
David Payne Dykes
- Speech-Language Assistant
- De Queen, AR
National Provider Identifier
1114287109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 00-0075
- Practice address
- 235 S Treating Plant Rd
De Queen, AR 71832-2909 - Phone
- (870) 642-3100
- NPI assigned
- May 23, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 00-0075 | AR | Primary |
Addresses
Primary practice location
235 S Treating Plant Rd
De Queen, AR 71832-2909
Mailing address
111 Marcone Dr
De Queen, AR 71832-4030
Phone (870) 784-3756
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05-0075 | Medicaid | AR |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00-0075 | AR | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337731200000",
"number": "1114287109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 MARCONE DR",
"city": "DE QUEEN",
"state": "AR",
"postal_code": "718324030",
"telephone_number": "870-784-3756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 S TREATING PLANT RD",
"city": "DE QUEEN",
"state": "AR",
"postal_code": "718322909",
"telephone_number": "870-642-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYKES",
"first_name": "DAVID",
"middle_name": "PAYNE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-23",
"last_updated": "2012-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AR",
"license": "00-0075",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05-0075",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in De Queen, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.