Donald G. Dicken, MD, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00028507 Issued in WA

Legal business name

DONALD G. DICKEN, MD, PC

Practice address

1200 N. 14TH Ave
Suite 275
Pasco, WA 99301-4079

Phone

(509) 545-0414

Fax

(509) 545-9398

NPI assigned

Apr 26, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kathleen Marie Morehouse

Title

Office Manager

Phone

(509) 545-0414

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald George Dicken, MD

  • Specialist
  • Pasco, WA
  • NPI 1649334236
  Medicare reassignment NPD

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083834428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N. 14TH AVE",
            "address_2": "SUITE 275",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993014079",
            "telephone_number": "509-545-0414",
            "fax_number": "509-545-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N. 14TH AVE",
            "address_2": "SUITE 275",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993014079",
            "telephone_number": "509-545-0414",
            "fax_number": "509-545-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD G. DICKEN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOREHOUSE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-545-0414",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00028507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1110584",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharyn Elizabeth Dickson, LMT
• Emily Diener, WHNP-BC
• Ethen Ditty
• Marybella Dodson, NURSE PRACTITIONER
• Moises Dominguez, CHW
• Haley Donovan
• Miguel Dorta, MD
• Angie Dover
• Downtown Dental on 4TH LLC
• Donna Doyle, RPH

• Specialist in Pasco, WA
• Providers in Pasco, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.