N. Dike D.O Professional Association

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

Q5176 Issued in TX

Legal business name

N. DIKE D.O PROFESSIONAL ASSOCIATION

Practice address

4323 N Josey LN Ste 301
Carrollton, TX 75010-4630

Phone

(214) 407-8580

Fax

(214) 407-8581

NPI assigned

Mar 27, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Nnamdi Chima Dike, DONPI 1306156401

Title

Ceo

Phone

(214) 407-8580

Specialties & licenses 1

Addresses

Other names 1

• Affinity Neurocare Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nnamdi Chima Dike, D.O

  • Neurology Physician
  • Carrollton, TX
  • NPI 1306156401
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1861997264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 N JOSEY LN STE 301",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104630",
            "telephone_number": "214-407-8580",
            "fax_number": "214-407-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 N JOSEY LN STE 301",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104630",
            "telephone_number": "214-407-8580",
            "fax_number": "214-407-8581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8350 Dallas Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750345076",
            "country_code": "US",
            "telephone_number": "214-407-8580",
            "fax_number": "214-407-8581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "N. DIKE D.O PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "DIKE",
        "authorized_official_first_name": "NNAMDI",
        "authorized_official_middle_name": "CHIMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-407-8580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "Q5176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affinity Neurocare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Neurology Physician in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.