Larry Clyde Daniels, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

06282R Issued in LA

Practice address

350 Jordan St
Shreveport, LA 71101-4847

Phone

(318) 779-2417

NPI assigned

Aug 31, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Daniels Family Medical Center LLC

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1053594507
  NPD (past) Authorized official
• Arklatex Medcare LLC

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1386083657
  NPD (past)
• Cenla Chiropractic & Wellness

  • Chiropractor
  • Pineville, LA
  • NPI 1356533251
  NPD (past)
• Healing Grace Internal Medicine & Pediatrics, LLC

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1780802504
  NPD (past)
• Monroe Medical Management

  • Rehabilitation Hospital Unit
  • Shreveport, LA
  • NPI 1003919168
  NPD (past)
• Shreveport Health and Wellness

  • General Practice Physician
  • Shreveport, LA
  • NPI 1447524715
  NPD (past)
• Sparrow Medical Group

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1194980524
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1700997160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 JORDAN STREET",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71101",
            "telephone_number": "318-779-2417",
            "fax_number": "318-742-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 JORDAN ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014847",
            "telephone_number": "318-779-2417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 David Raines Rd",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711075899",
            "country_code": "US",
            "telephone_number": "318-425-2252",
            "fax_number": "318-227-3359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "LARRY",
        "middle_name": "CLYDE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "06282R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1352896",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Akane Daniels, P.A.
• Byron Daniels, BA
• Diedre Daniels, CCC-SLP
• Julie Daniels, COTA/L
• Kelly Daniels, PT, DPT
• Margaret Eva Daniels, LPC
• Timothy Francis Danish, MD
• Emily Martinson Dantes, MD
• Danzell Family Medical Clinic
• Jacqueline A. Danzell, LCSW

• Family Medicine Physician in Shreveport, LA
• Providers in Shreveport, 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 Nov 15, 2019; 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.