Organization Active NPI

Norman L. Dykes, MD, Apmc

  • Preferred Provider Organization
  • Lafayette, LA
National Provider Identifier
1861701153
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
05243R Issued in LA
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

Updated by the provider on Jan 4, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1091219MedicaidLA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.