David D Dyck in Independence - Sports Medicine

David D Dyck - NPI 1649231051

David D Dyck is a Sports Medicine in Independence, Missouri. David D Dyck practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for David D Dyck is 1649231051. The last update date is 2022-02-16.

David D Dyck's current location address is 19550 E 39th St S Ste 230, Independence, Missouri. You can contact this provider via phone number 8167958200 and fax number 8167957735. The mailing address for David D Dyck is 19550 E 39th St S Ste 230, Independence, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name David D Dyck
Address 19550 E 39th St S Ste 230, Independence, Missouri
Phone Number 8167958200
Fax Number 8167957735
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1649231051
Provider Enumeration Date 2006-03-28
Last Updated Date 2022-02-16

Provider Mailing Address Detail

Address 19550 E 39th St S Ste 230
City Independence
State Missouri (MO)
Post Code 640572309
Phone Number 8167958200
Fax Number 8167957735

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Qs0010X
Licence No 108810
Definition:
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100396370B KS --
100396370C KS --
1649231051 MO --
80135929 MO RAILROAD MEDICARE

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FAQs about David D Dyck

What is the unique 10-digit identification code issued to David D Dyck by the Centers for Medicare & Medicaid Services?

The David D Dyck has been assigned the NPI (National Provider Identifier) 1649231051 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where David D Dyck is geographically located?

The David D Dyck is physically situated at the following location: 19550 E 39Th St S Ste 230, Independence, MO, 640572309.

What is David D Dyck's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for David D Dyck is Sports Medicine, and the corresponding taxonomy classification code for this specialized field is 207Qs0010X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1649231051 to David D Dyck?

The Centers for Medicare & Medicaid Services originally issued the 1649231051 to David D Dyck on 2006-03-28.

As of what date was the information pertaining to David D Dyck, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to David D Dyck, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-02-16.

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