Active NPI
Dickinson Family Medicine Clinic
- Family Medicine Physician
- Dickinson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- DICKINSON FAMILY MEDICINE CLINIC
- Practice address
- 1455 FM 646 Rd W Ste 100
Dickinson, TX 77539-2038 - Phone
- (346) 689-5870
- NPI assigned
- Feb 20, 2024
- Last updated
- Apr 8, 2024
- 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
- Dr. Chris Simpson, MD
- Title
- Physician
- Phone
- (346) 689-5870
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
1455 FM 646 Rd W Ste 100
Dickinson, TX 77539-2038
Mailing address
1455 FM 646 Rd W Ste 100
Dickinson, TX 77539-2038
Phone (346) 689-5870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2301547 | Dickinson Family Medicine Clinic | Certificate of waiver | Mar 26, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Family Medicine Physician
- Dickinson, TX
- NPI 1023496247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712534400000",
"number": "1174388078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1455 FM 646 RD W STE 100",
"city": "DICKINSON",
"state": "TX",
"postal_code": "775392038",
"telephone_number": "346-689-5870",
"fax_number": "949-695-4309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 FM 646 RD W STE 100",
"city": "DICKINSON",
"state": "TX",
"postal_code": "775392038",
"telephone_number": "346-689-5870"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DICKINSON FAMILY MEDICINE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-20",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A",
"authorized_official_last_name": "SIMPSON",
"authorized_official_first_name": "CHRIS",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "346-689-5870",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dickinson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.