Individual provider Active NPI

James William Sikes Jr., DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Shreveport, LA
National Provider Identifier
1194731836
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
4912 Issued in LA
Practice address
6912 Fern Loop Ste a
Shreveport, LA 71105-4176
Phone
(318) 585-7667
Fax
(318) 585-6912
NPI assigned
Aug 1, 2006
Last updated
Aug 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 11117 GA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 4912 LA Primary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 024422 LA
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 51272 GA

Addresses

Primary practice location

6912 Fern Loop Ste a
Shreveport, LA 71105-4176

Mailing address

6912 Fern Loop Ste a
Shreveport, LA 71105-4176
Phone (318) 585-7667

Other practice location 1

1455 E. Bert Kouns
Shreveport, LA 71105
Phone (318) 798-4466

Other identifiers 2

IdentifierTypeStateIssuer
1467912OtherLAUCCI
1849120MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2014 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51272GAMDOral & Maxillofacial Surgery (D.M.D.)
024422LAMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
James Sikes DMD MD and Caroline Garcia DDS MD LLC CurrentSince Feb 4, 2024 Accepting new patients
Arklatex Oral & Maxillofacial Surgery a Partnership of Professional de Oral and Maxillofacial Surgery Past Accepting new patients

Locations

6912 Fern Loop
Ste A
Shreveport, LA 71105
Phone (318) 585-7667

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1194731836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6912 FERN LOOP STE A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711054176",
            "telephone_number": "318-585-7667",
            "fax_number": "318-585-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6912 FERN LOOP STE A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711054176",
            "telephone_number": "318-585-7667",
            "fax_number": "318-585-6912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1455 E. Bert Kouns",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "71105",
            "country_code": "US",
            "telephone_number": "318-798-4466",
            "fax_number": "318-798-4543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIKES",
        "first_name": "JAMES",
        "middle_name": "WILLIAM",
        "name_suffix": "Jr.",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "11117",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "LA",
            "license": "4912",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "LA",
            "license": "024422",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "GA",
            "license": "51272",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI",
            "identifier": "1467912",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1849120",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.