Active NPI
Dodanim Francisco Altamirano, MD
- Pediatrics Physician
- Ville Platte, LA
National Provider Identifier
1972598712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 11525R
- Practice address
- 504 Jack Miller Rd
Suite 3
Ville Platte, LA 70586-5600 - Phone
- (337) 363-3560
- Fax
- (337) 363-3507
- NPI assigned
- Sep 19, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 11525R | LA | Primary |
Addresses
Primary practice location
504 Jack Miller Rd
Suite 3
Ville Platte, LA 70586-5600
Mailing address
504 Jack Miller Rd
Suite 3
Ville Platte, LA 70586-5600
Phone (337) 363-3560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1671177 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ville Platte Pediatrics PA | Pediatrics | Current | Accepting new patients |
Locations
504 Jack Miller Rd
Ste 3
Ville Platte, LA 70586
Phone (337) 363-3560
Interoperability endpoints
- mrmdaltam@yourcarecommunity.org
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1972598712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 JACK MILLER RD",
"address_2": "SUITE 3",
"city": "VILLE PLATTE",
"state": "LA",
"postal_code": "705865600",
"telephone_number": "337-363-3560",
"fax_number": "337-363-3507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 JACK MILLER RD",
"address_2": "SUITE 3",
"city": "VILLE PLATTE",
"state": "LA",
"postal_code": "705865600",
"telephone_number": "337-363-3560",
"fax_number": "337-363-3507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTAMIRANO",
"first_name": "DODANIM",
"middle_name": "FRANCISCO",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-19",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "11525R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1671177",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
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- Advanced Imaging Specialties, LLC
- Alexandria Eye and Laser Center, LLC
- Alexandria Eye and Laser Center, LLC (Louisiana Eye & Laser)
- Gregory Mark Allain, MD
- Michelle Allison
- Eduardo L Alvarez, M.D.
- Denise Anderson
- Anna Fontenot Medical Center LLC (Dupre Medical Clinic)
- Anna Fontenot Medical Center LLC (Magnolia Therapeutics)
- Denise Watkins Antoine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.