JOHN A DYKSTRA PA-C
NPI 1952325110
Physician Assistant - Medical in Grand Rapids, MI
About John A Dykstra Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN A DYKSTRA PA-C (NPI 1952325110) is an individual medical provider in Grand Rapids, Michigan, licensed in Michigan (5601001358) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John A Dykstra Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 John Dykstra's NPI number?
The NPI number for John Dykstra is 1952325110. It was assigned to this individual provider in the NPPES registry on July 27, 2006.
Where is John Dykstra located?
John Dykstra practices at 3019 Coit Ave NE, Grand Rapids, MI 49505. The listed phone number is (616) 365-9575.
What is John Dykstra's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is John Dykstra enrolled in Medicare?
Yes. John Dykstra is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for John Dykstra was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# John A Dykstra, PA-C · NPI 1952325110
Medical physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since July 27, 2006.
## Identity
- **NPI:** 1952325110 (Entity type: Individual)
- **Enumerated:** July 27, 2006
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 5601001358 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3019 COIT AVE NE, Grand Rapids, MI 49505-3376
- **Phone:** (616) 365-9575
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1952325110) · Data from the CMS NPPES public registry.