NPIMap

Organization Active NPI

Greenwell Medical Clinic LLC Dba North Point Family Health

  • Family Medicine Physician
  • Greenwell Springs, LA
National Provider Identifier
1992896484
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11621R Issued in LA
Legal business name
GREENWELL MEDICAL CLINIC LLC DBA NORTH POINT FAMILY HEALTH
Practice address
18901 Greenwell Springs Rd
Greenwell Springs, LA 70739-4836
Phone
(225) 924-9985
Fax
(225) 924-0884
NPI assigned
Sep 27, 2006
Last updated
Sep 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Authorized official

Name
Dr. Robert Kyle Dean, MDNPI 1659418325
Title
Physician
Phone
(225) 924-9985

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 11621R LA Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 05798R LA
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 10977 LA

Addresses

Primary practice location

18901 Greenwell Springs Rd
Greenwell Springs, LA 70739-4836

Mailing address

18901 Greenwell Springs Rd
Greenwell Springs, LA 70739-4836
Phone (225) 924-9985

National Provider Directory

National Provider Directory

Locations

9985 Greenwell Springs Rd
Baton Rouge, LA 70814
Phone (225) 924-9985

Practitioners & affiliated clinicians

Practitioners 2

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": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1992896484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18901 GREENWELL SPRINGS RD",
            "city": "GREENWELL SPRINGS",
            "state": "LA",
            "postal_code": "707394836",
            "telephone_number": "225-924-9985",
            "fax_number": "225-924-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18901 GREENWELL SPRINGS RD",
            "city": "GREENWELL SPRINGS",
            "state": "LA",
            "postal_code": "707394836",
            "telephone_number": "225-924-9985",
            "fax_number": "225-924-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWELL MEDICAL CLINIC LLC DBA NORTH POINT FAMILY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "225-924-9985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "11621R",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "05798R",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "LA",
            "license": "10977",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwell Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.