Thomas Dickson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

9431549-9921 Issued in UT

Practice address

1260 6TH St
Elko, NV 89801-3242

Phone

(775) 738-8117

Fax

(775) 738-2083

NPI assigned

Jun 5, 2015

Last updated

Jul 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1154701944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 6TH ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898013242",
            "telephone_number": "775-738-8117",
            "fax_number": "775-738-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 6TH ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898013242",
            "telephone_number": "775-738-8117",
            "fax_number": "775-738-2083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "263 Spring Valley Pkwy Ste A3",
            "address_purpose": "LOCATION",
            "city": "Spring Creek",
            "state": "NV",
            "postal_code": "898156826",
            "country_code": "US",
            "telephone_number": "775-738-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-05",
        "last_updated": "2022-07-22",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "9431549-9921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Elko, NV
• Providers in Elko, NV by specialty
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.