Individual provider Active NPI

John David De Lapp, M.D.

  • Specialist
  • Leesville, LA
National Provider Identifier
1346216694
Registry record updated Jun 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
12067R Issued in LA
Practice address
500 S 6TH St Ste a
Leesville, LA 71446-4442
Phone
(337) 239-8000
Fax
(337) 239-8003
NPI assigned
Feb 27, 2006
Last updated
Jun 22, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 12067R LA Primary

Addresses

Primary practice location

500 S 6TH St Ste a
Leesville, LA 71446-4442

Mailing address

500 S 6TH St Ste a
Leesville, LA 71446-4442
Phone (337) 239-8000

Other identifiers 4

IdentifierTypeStateIssuer
25774OtherLACONTROL DANGER SUBSTANCE
12067ROtherLALA STATE LICENSE
1699683MedicaidLA
94-3311887OtherTAX ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060324000549 LA Practitioner - Orthopedic Surgery 7719898428 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
West Virginia University School of Medicine, 1990
Medicare assignment
May accept Medicare assignment
Group practices
Glen D. Hurlston, M.D., ApmcGroup PAC ID 3779557541, 26 clinicians
Physical Therapy Services of West Louisiana IncGroup PAC ID 0446388763, 92 clinicians
Byrd Medical Clinic IncGroup PAC ID 2860460508, 10 clinicians

Practice addresses (Care Compare)

1020 Fertitta Blvd
Leesville, LA 71446-4645

1020 W Fertita Blvd
Leesville, LA 71446-4645
Phone (337) 239-9041

301 W Fertitta Blvd
Suite 4
Leesville, LA 71446-4665
Phone (337) 238-9931

506 S 6TH St
Leesville, LA 71446-4442
Phone (337) 239-2234

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)15
Upper limb (arm) arthroscopy (minimally invasive joint repair)22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12067RLAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Glen D. Hurlston, M.D., Apmc CurrentSince Apr 24, 2024 Accepting new patients
Byrd Medical Clinic Inc Orthopaedic Surgery CurrentSince Apr 27, 2021 Accepting new patients
Doctors Hospital at Deer Creek LLC PastSince Aug 24, 2007 Accepting new patients

Locations

1020 W Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-5278

500 S 6th St
Leesville, LA 71446
Phone (337) 239-7227

500 S 6th St
Ste A
Leesville, LA 71446
Phone (337) 239-8000

506 S 6th St
Leesville, LA 71446
Phone (337) 239-0989

Interoperability endpoints

  • Direct secure messaging: brhjdelap@yourcarecommunity.org
  • Direct secure messaging: john.delapp.1@17837.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1346216694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S 6TH ST STE A",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464442",
            "telephone_number": "337-239-8000",
            "fax_number": "337-239-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S 6TH ST STE A",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464442",
            "telephone_number": "337-239-8000",
            "fax_number": "337-239-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LAPP",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "12067R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROL DANGER SUBSTANCE",
            "identifier": "25774",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA STATE LICENSE",
            "identifier": "12067R",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699683",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "94-3311887",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesville, LA

Sources for this page

Verify at the official NPI Registry.