NPIMap

Individual provider Active NPI

George Dyck, M.D.

  • Psychiatry Physician
  • North Newton, KS
National Provider Identifier
1245280437
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
04-15415 Issued in KS
Practice address
43 Lakewood Cir
North Newton, KS 67117-8104
Phone
(316) 283-7774
NPI assigned
May 11, 2006
Last updated
May 1, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 04-15415 KS Primary
Geriatric Psychiatry Physician 2084P0805X 04-15415 KS

Addresses

Primary practice location

43 Lakewood Cir
North Newton, KS 67117-8104

Mailing address

43 Lakewood Cir
North Newton, KS 67117-8104
Phone (316) 283-7774

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-15415KSMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Via Christi Regional Medical Center Past Accepting new patients
Magellan Health Services of Arizona, Inc Past Accepting new patients
Via Christi Hospitals Wichita, Inc Past Accepting new patients
Vo of Arizona, Inc. Past Accepting new patients
University Physicians Healthcare Psychiatry Past Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Past Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Past Accepting new patients
Prairie View, Inc. Past Accepting new patients

Organizations & group practices 8

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241136000000",
    "number": "1245280437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 LAKEWOOD CIR",
            "city": "NORTH NEWTON",
            "state": "KS",
            "postal_code": "671178104",
            "telephone_number": "316-283-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 LAKEWOOD CIR",
            "city": "NORTH NEWTON",
            "state": "KS",
            "postal_code": "671178104",
            "telephone_number": "316-283-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYCK",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2009-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "04-15415",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "KS",
            "license": "04-15415",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Newton, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.