Active NPI
Dickens Health Care Supplies, Inc
- Durable Medical Equipment & Medical Supplies
- Nashville, NC
National Provider Identifier
1023077963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 550
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Donna Hooten Dickens, CFM, CFTS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7702813 | Medicaid | NC |
Other names 1
- John William Dickens
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthotic Fitter
- Nashville, NC
- NPI 1427219534
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.