Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Van Dyck ASC, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1760414056

Van Dyck ASC, LLC is an Ambulatory Surgical Clinic/Center in Paris, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1024 Kelley Dr
Paris, TN 38242-4500
Phone: (731) 642-5003
Fax: (731) 642-8756
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence TN23 (TN)
Ambulatory Surgical Clinic/Center Taxonomy 261QA1903X · Licence 0000000023 (TN)

Record details

NPI number1760414056
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Loden — Owner/Medical Director · (731) 642-5003
NPI enumeratedJuly 7, 2006
Last updated in NPPESFebruary 17, 2022
Certification dateFebruary 17, 2022
Mailing address1024 Kelley Dr, Paris, TN 38242-4500

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