Todd E Dickerson, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D4423 Issued in AZ

Legal business name

TODD E DICKERSON, DDS

Practice address

1200 W Warner Rd
Suite 1
Chandler, AZ 85224-2758

Phone

(480) 963-2535

NPI assigned

Sep 24, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Todd Evan Dickerson, D,D.S., M.S., P.C.

Title

Owner

Phone

(480) 963-2535

Specialties & licenses 1

Addresses

Other names 1

• Dickerson Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1184093767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W WARNER RD",
            "address_2": "SUITE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242758",
            "telephone_number": "480-963-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W WARNER RD",
            "address_2": "SUITE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242758",
            "telephone_number": "480-963-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD E DICKERSON, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-24",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "EVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-963-2535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D,D.S., M.S., P.C."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "D4423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dickerson Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• TNC Senior Care Solutions
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• Emily Eleanor Branigan Tobin, NP
• Kristina Marie Todd, PA-C
• Robert Matthew Tognacci, DO
• Kimberly Rose Tokarski, FNP-BC
• Tom Sowash OD & Associates
• Tom Sowash OD & Associates PC

• Orthodontics and Dentofacial Orthopedics Dentistry in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.