Individual provider Active NPI

Zachariah Dynes, MD

  • Student in an Organized Health Care Education/Training Program
  • New Orleans, LA
National Provider Identifier
1427779628
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
347108 Issued in LA
Practice address
5630 Read Blvd
New Orleans, LA 70127-3106
Phone
(504) 493-6723
NPI assigned
Sep 6, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2022035594 MO
Student in an Organized Health Care Education/Training Program 390200000X 347108 LA Primary

Addresses

Primary practice location

5630 Read Blvd
New Orleans, LA 70127-3106

Mailing address

600 S Shore Dr
Windom, MN 56101-3602
Phone (507) 822-9121

Other practice location 1

13013 Fuller Ave Ste A
Grandview, MO 64030-2687
Phone (507) 822-9121

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2022035594MOMDFamily Medicine Physician
347108LAMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1427779628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S SHORE DR",
            "city": "WINDOM",
            "state": "MN",
            "postal_code": "561013602",
            "telephone_number": "507-822-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5630 READ BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701273106",
            "telephone_number": "504-493-6723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13013 Fuller Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Grandview",
            "state": "MO",
            "postal_code": "640302687",
            "country_code": "US",
            "telephone_number": "507-822-9121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYNES",
        "first_name": "ZACHARIAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-06",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2022035594",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "LA",
            "license": "347108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.