DR. LARRY CLYDE DANIELS MD
NPI 1700997160
Family Medicine in Shreveport, LA

Q: What is Larry Daniels's NPI number?

The NPI number for Larry Daniels is 1700997160. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Larry Daniels's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Larry Daniels was last updated on November 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 31, 2006

350 JORDAN ST, SHREVEPORT, LA 71101(318) 779-2417 Get Directions Write a Review

NPPES record last updated: November 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2019, Oct 8, 2018 (2 updates tracked since 2018).

On this page

About Dr. Larry Clyde Daniels Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LARRY CLYDE DANIELS MD (NPI 1700997160) is an individual family medicine provider in Shreveport, Louisiana, licensed in Louisiana (06282R) and active in the NPI registry since August 2006. He maintains a secondary practice location in Shreveport.

NPPES Registry Identity

NPI1700997160

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. LARRY CLYDE DANIELSCredential: MD

Location Address350 JORDAN STShreveport, LA 71101-4847

Mailing Address350 Jordan StreetShreveport, LA 71101 · (318) 779-2417 · Fax (318) 742-8646

Phone(318) 779-2417

Sole ProprietorYes

Enumeration DateAugust 31, 2006

Last NPPES UpdateNovember 15, 20192 updates tracked since enumeration

✔ NPI 1700997160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in LA · 06282R

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

350 JORDAN ST, Shreveport, LA 71101

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Secondary Practice Location 1

Location 11625 David Raines RdShreveport, LA 71107-5899 · Phone (318) 425-2252 · Fax (318) 227-3359

Other Identifiers 1

Medicaid1352896LA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REHABILITATION CONCEPTS PLUS, INC.

Physical Therapist

350 JORDAN ST
SHREVEPORT, LA 71101

Caddo Parish (318) 220-7334

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Daniels's NPI number?

The NPI number for Larry Daniels is 1700997160. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Larry Daniels located?

Larry Daniels practices at 350 Jordan St, Shreveport, LA 71101. The listed phone number is (318) 779-2417.

What is Larry Daniels's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Larry Daniels was last updated on November 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.