David L. Dykhuizen, M.D., P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

55195 Issued in MA

Legal business name

DAVID L. DYKHUIZEN, M.D., P.C.

Practice address

116 Belmont St
Worcester, MA 01605-2964

Phone

(508) 752-7470

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David L. Dykhuizen

Title

President

Phone

(508) 752-7470

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386852358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BELMONT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 BELMONT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052964",
            "telephone_number": "508-752-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L. DYKHUIZEN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DYKHUIZEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-752-7470",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "55195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0108464",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah E Davenport, M.D.
• Jessica Davi
• Duncan R. Daviau, PA-C
• David C. Tucker D.D.S. Herbert C. Rosen D.M.D. PC
• David H.Lubin,DMD,PC
• David W. Connors, MD, P.C.
• June Alice David-Fors, LICSW
• Melissa Brooke David, MSW, LICSW
• Valerie A David, D.D.S., M.S.
• Shmuel Erez Davidi, MD

• Specialist in Worcester, MA
• Providers in Worcester, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.