NPIMap

Organization Active NPI

DM Properties of Lafayette, LLC

Doing business as Premier Urgent Care

  • Urgent Care Clinic/Center
  • Jena, LA
National Provider Identifier
1730722471
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
DM PROPERTIES OF LAFAYETTE, LLC
Doing business as
Premier Urgent Care
Practice address
3662 W Oak St
Jena, LA 71342
Phone
(318) 495-2273
Fax
(318) 374-4013
NPI assigned
Oct 25, 2019
Last updated
Oct 25, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
DM PROPERTIES OF LAFAYETTE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Authorized official

Name
Deepak SharmaNPI 1952383028
Title
Owner/Physician
Phone
(318) 787-6877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

3662 W Oak St
Jena, LA 71342

Mailing address

3601 Jackson St Ext
Alexandria, LA 71303-3002
Phone (318) 787-6877

Other names 1

  • Premier Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191204000850 LA DME Supplier - Multi-Specialty - Physician 8527292986 Practice locations: Jena, LA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2167224Premier Urgent Care3662 West Oak St, Jena, LA 71342AccreditationJun 1, 2027

National Provider Directory

National Provider Directory
Tax ID family
DM Properties LLC3 organizations share this tax ID, including this one
Part of
DM Properties LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3601 Jackson Street Ext
Alexandria, LA 71303
Phone (318) 787-6877

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1730722471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 JACKSON ST EXT",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033002",
            "telephone_number": "318-787-6877",
            "fax_number": "318-787-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3662 W OAK ST",
            "city": "JENA",
            "state": "LA",
            "postal_code": "71342",
            "telephone_number": "318-495-2273",
            "fax_number": "318-374-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DM PROPERTIES OF LAFAYETTE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DM PROPERTIES OF LAFAYETTE, LLC",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "318-787-6877"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jena, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.