Active NPI
Norman L. Dykes, MD, Apmc
- Preferred Provider Organization
- Lafayette, LA
National Provider Identifier
1861701153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- 05243R
- Legal business name
- NORMAN L. DYKES, MD, APMC
- Practice address
- 105 Sheridan Dr
Lafayette, LA 70506-2609 - Phone
- (337) 234-1119
- NPI assigned
- Oct 4, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Norman Lee Dykes, M.D.
- Title
- Owner
- Phone
- (337) 234-1119
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | 02543R | LA | |
| Preferred Provider Organization | 305R00000X | 05243R | LA | Primary |
Addresses
Primary practice location
105 Sheridan Dr
Lafayette, LA 70506-2609
Mailing address
105 Sheridan Dr
Lafayette, LA 70506-2609
Phone (337) 234-1119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1091219 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
501 W Saint Mary Blvd
Ste 308
Lafayette, LA 70506
Phone (337) 234-1119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294099200000",
"number": "1861701153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 SHERIDAN DR",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705062609",
"telephone_number": "337-234-1119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 SHERIDAN DR",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705062609",
"telephone_number": "337-234-1119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORMAN L. DYKES, MD, APMC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-04",
"last_updated": "2011-01-04",
"status": "A",
"authorized_official_last_name": "DYKES",
"authorized_official_first_name": "NORMAN",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "337-234-1119",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "LA",
"license": "02543R",
"primary": false
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "LA",
"license": "05243R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1091219",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.