Organization Active NPI

Clif Dopson, M.D. Apmc

  • Psychiatry Physician
  • Shreveport, LA
National Provider Identifier
1992096226
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
013604 Issued in LA
Legal business name
CLIF DOPSON, M.D. APMC
Practice address
610 Herndon St
Shreveport, LA 71101-4704
Phone
(318) 424-3867
Fax
(318) 424-5006
NPI assigned
Apr 20, 2011
Last updated
Mar 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Cecil Clifton Dopson, M.D. Jr., M.D.
Title
Owner
Phone
(318) 424-3867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 013604 LA Primary

Addresses

Primary practice location

610 Herndon St
Shreveport, LA 71101-4704

Mailing address

610 Herndon St
Shreveport, LA 71101-4704
Phone (318) 424-3867

Other names 1

  • Cecil Clifton Dopson, Jr. M.D. Other name

National Provider Directory

National Provider Directory

Locations

610 Herndon St
Shreveport, LA 71101
Phone (318) 424-3867

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1992096226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 HERNDON ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014704",
            "telephone_number": "318-424-3867",
            "fax_number": "318-424-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 HERNDON ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014704",
            "telephone_number": "318-424-3867",
            "fax_number": "318-424-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIF DOPSON, M.D. APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "DOPSON, M.D.",
        "authorized_official_first_name": "CECIL",
        "authorized_official_middle_name": "CLIFTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-424-3867",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "013604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cecil Clifton Dopson, Jr. M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.