Active NPI
James William Sikes Jr., DMD, MD
- Oral and Maxillofacial Surgery (Dentist)
- Shreveport, LA
National Provider Identifier
1194731836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 4912
- 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, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467912 | Other | LA | UCCI |
| 1849120 | Medicaid | LA |
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 51272 | GA | MD | Oral & Maxillofacial Surgery (D.M.D.) |
| 024422 | LA | MD | Oral & Maxillofacial Surgery (D.M.D.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James Sikes DMD MD and Caroline Garcia DDS MD LLC | Current | 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.
-
dba Sikes Oral & Maxillofacial Surgery
- Dental Clinic/Center
- Shreveport, LA
- NPI 1154183739
-
- Oral and Maxillofacial Surgery (Dentist)
- Shreveport, LA
- NPI 1003092545
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
- Daniyal Ikhlas Siddiqui, MD
- Syed Siddiqullah
- Sergio David Sierre, MD
- Willie Siglar II, MA
- Gurleen Sikand, MD
- Jeffrey W Silmon, D.D.S.
- Roberto Fidel Silva Aguiar, MD
- Silver Lining Non-Emergency Transportation LLC
- Sam Ray Silverblatt, O.D.
- Simba Ventures Hospital la, LLC (Doctors' Hospital Shreveport)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.