NPIMap

Organization Active NPI

Dyess Medical Services, Inc

  • Family Medicine Physician
  • Elba, AL
National Provider Identifier
1124376686
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10790 Issued in AL
Legal business name
DYESS MEDICAL SERVICES, INC
Practice address
252 Larkin Rd
Elba, AL 36323-5102
Phone
(334) 897-2207
Fax
(334) 853-0128
NPI assigned
Aug 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Authorized official

Name
Dr. Lance K Dyess, MD
Title
Physician/Owner
Phone
(334) 897-2207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 10790 AL Primary

Addresses

Primary practice location

252 Larkin Rd
Elba, AL 36323-5102

Mailing address

252 Larkin Rd
Elba, AL 36323-5102
Phone (334) 897-2207

Other names 1

  • FIRST MED OF ELBA Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1124376686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 LARKIN RD",
            "city": "ELBA",
            "state": "AL",
            "postal_code": "363235102",
            "telephone_number": "334-897-2207",
            "fax_number": "334-853-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 LARKIN RD",
            "city": "ELBA",
            "state": "AL",
            "postal_code": "363235102",
            "telephone_number": "334-897-2207",
            "fax_number": "334-853-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYESS MEDICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "DYESS",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "334-897-2207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "10790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRST MED OF ELBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elba, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.