Mainstream Health, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MAINSTREAM HEALTH, LLC

Practice address

5930 Mansfield Rd
Shreveport, LA 71108-3816

Phone

(318) 636-1717

Fax

(318) 636-1718

NPI assigned

Mar 8, 2008

Organization subpart

No

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

Authorized official

Name

Chidiadi Dike, M.D.

Title

Managing Member

Phone

(318) 636-1717

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1204934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1639349491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 MANSFIELD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711083816",
            "telephone_number": "318-636-1717",
            "fax_number": "318-636-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 MANSFIELD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711083816",
            "telephone_number": "318-636-1717",
            "fax_number": "318-636-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINSTREAM HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-08",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "DIKE",
        "authorized_official_first_name": "CHIDIADI",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "318-636-1717",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Maiden, LMSW
• Tremendous Treshell Maiden, BS
• Joshua David Maier
• Daniel Maierhofler
• Mark Richard Mainous, MD
• Donald Majeste, MD
• Nikita Major
• Jake M. Majors, MD
• Kathleen K Majors, MD
• Makayla Dooley

• Primary Care Clinic/Center in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Primary Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.