Active NPI
Diana Carol Lyle, MD
- General Practice Physician
- Dallas, TX
National Provider Identifier
1467554683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- D6073
- Practice address
- 8226 Douglas Ave #449
Dallas, TX 75225 - Phone
- (214) 750-0801
- Fax
- (214) 750-0804
- NPI assigned
- Sep 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | D6073 | TX | Primary |
Addresses
Primary practice location
8226 Douglas Ave #449
Dallas, TX 75225
Mailing address
8226 Douglas Ave #449
Dallas, TX 75225
Phone (214) 750-0801
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P000M1486 | Medicaid | TX | |
| 03393700 | Other | DMERC | |
| D6073 | Other | STATE BOARD |
Other names 1
- Diana Carol Lyle
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
| License | State | Type | Specialty |
|---|---|---|---|
| D6073 | TX | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467554683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8226 DOUGLAS AVE #449",
"city": "DALLAS",
"state": "TX",
"postal_code": "75225",
"telephone_number": "214-750-0801",
"fax_number": "214-750-0804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8226 DOUGLAS AVE #449",
"city": "DALLAS",
"state": "TX",
"postal_code": "75225",
"telephone_number": "214-750-0801",
"fax_number": "214-750-0804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYLE",
"first_name": "DIANA",
"middle_name": "CAROL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TX",
"license": "D6073",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P000M1486",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "03393700",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD",
"identifier": "D6073",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DIANA",
"last_name": "LYLE",
"middle_name": "CAROL",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.