Active NPI
Deo Lynn Guidry, DC
- Chiropractor
- Clive, IA
National Provider Identifier
1386637502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6672
- Practice address
- 8830 Swanson Blvd
Clive, IA 50325-6910 - Phone
- (515) 225-8100
- NPI assigned
- Aug 23, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6672 | IA | Primary |
| Chiropractor | 111N00000X | 9161 | TX |
Addresses
Primary practice location
8830 Swanson Blvd
Clive, IA 50325-6910
Mailing address
8830 Swanson Blvd
Clive, IA 50325-6910
Phone (515) 225-8100
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6672 | IA | MD | Chiropractor |
| 9161 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371513600000",
"number": "1386637502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8830 SWANSON BLVD",
"city": "CLIVE",
"state": "IA",
"postal_code": "503256910",
"telephone_number": "515-225-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8830 SWANSON BLVD",
"city": "CLIVE",
"state": "IA",
"postal_code": "503256910",
"telephone_number": "515-225-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIDRY",
"first_name": "DEO",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2013-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "6672",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "9161",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clive, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.