Organization Active NPI

Dickens Health Care Supplies, Inc

  • Durable Medical Equipment & Medical Supplies
  • Nashville, NC
National Provider Identifier
1023077963
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
550 Issued in NC
Legal business name
DICKENS HEALTH CARE SUPPLIES, INC
Doing business as
John William Dickens
Practice address
625 E Washington St
Nashville, NC 27856-1737
Phone
(252) 462-0500
Fax
(252) 462-0521
NPI assigned
Mar 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Authorized official

Name
Mrs. Donna Hooten Dickens, CFM, CFTSNPI 1427219534
Title
President
Phone
(252) 462-0500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 550 NC Primary

Addresses

Primary practice location

625 E Washington St
Nashville, NC 27856-1737

Mailing address

625 E Washington St
Nashville, NC 27856-1737
Phone (252) 462-0500

Other identifiers 1

IdentifierTypeStateIssuer
7702813MedicaidNC

Other names 1

  • John William Dickens Doing business as

National Provider Directory

National Provider Directory

Locations

625 E Washington St
Nashville, NC 27856
Phone (252) 462-0500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1023077963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E WASHINGTON ST",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "278561737",
            "telephone_number": "252-462-0500",
            "fax_number": "252-462-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E WASHINGTON ST",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "278561737",
            "telephone_number": "252-462-0500",
            "fax_number": "252-462-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKENS HEALTH CARE SUPPLIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "DICKENS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "HOOTEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-462-0500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CFM, CFTS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7702813",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John William Dickens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.