Kirk A Dantin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

019522 Issued in LA

Practice address

606 Liberty St
Houma, LA 70360-4622

Phone

(985) 872-3000

NPI assigned

Jan 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Louisiana State University School of Medicine in New Orleans, 1987

Medicare assignment

May accept Medicare assignment

Group practices

Houma Family Practice Clinic ApmcGroup PAC ID 4688854557, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Houma, LA, CCN 197167
• Vitalcaring Group Home health agency, Houma, LA, CCN 197476
• Terrebonne General Medical Center - Parish Hospital, Houma, LA, CCN 190008
• Physicians Medical Center Hospital, Houma, LA, CCN 190241
• Thibodaux Regional Medical Center Hospital, Thibodaux, LA, CCN 190004

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kdantin408175@direct.ochsner.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Houma Family Practice Clinic Apmc

  • Family Medicine Physician
  • Houma, LA
  • NPI 1194874230
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Louisiana, LLC

  dba Amedisys Home Health

  • Home Health Agency
  • Houma, LA
  • NPI 1760430441
  Care Compare affiliation
• Bayou Home Care L.L.C.

  dba VitalCaring Group

  • Home Health Agency
  • Houma, LA
  • NPI 1144210485
  Care Compare affiliation
• Physicians Medical Center, LLC

  • General Acute Care Hospital
  • Houma, LA
  • NPI 1477509859
  Care Compare affiliation
• Terrebonne Parish Hospital Service District #1

  dba Terrebonne General Medical Center

  • General Acute Care Hospital
  • Houma, LA
  • NPI 1518924109
  Care Compare affiliation
• Thibodaux Regional Health System Inc

  • General Acute Care Hospital
  • Thibodaux, LA
  • NPI 1902465065
  Care Compare affiliation

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679622732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 LIBERTY ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604622",
            "telephone_number": "985-872-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 LIBERTY ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604622",
            "telephone_number": "985-872-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANTIN",
        "first_name": "KIRK",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "019522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chrystal Daniels
• Tuneeka Shandale Ayanna Daniels
• Carly Lynn Danos
• Jennifer Cannatella Danos, LPC
• Katie Danos
• Rhonda B Dantin, CRNA
• Holly Daquana, NP
• Laura Elizabeth Darcy, PHD
• Derek Q Dark
• Jyra Dark, PT, DPT

• Family Medicine Physician in Houma, LA
• Providers in Houma, LA by specialty
• Family Medicine Physician in Louisiana

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.