Corey Carlyle Dike, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

5001601-015 Issued in WI

Practice address

2906 Post Rd
Stevens Point, WI 54481-6417

Phone

(715) 345-7770

Fax

(715) 345-9808

NPI assigned

Sep 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arrowhead Dental Center SC

  • Dentist
  • Stevens Point, WI
  • NPI 1922173145
  NPD (past) Authorized official
• Arrowhead Dental Center,SC

  • Clinic/Center
  • Stevens Point, WI
  • NPI 1952401770
  NPD (past) Authorized official

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194825919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 COURT ST",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946130",
            "telephone_number": "715-252-7777",
            "fax_number": "715-345-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 POST RD",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544816417",
            "telephone_number": "715-345-7770",
            "fax_number": "715-345-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIKE",
        "first_name": "COREY",
        "middle_name": "CARLYLE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "5001601-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David R Derus, PSYD, LPC-IT
• Jamie Destache
• James H Deweerd Jr., MD
• Brenda Kaye Diamond, RDH
• Diane Y Dickinson, MA, LPC, LCSW
• Kristina Dimond
• Heidi L Dix, LAT
• Makenze Elizabeth Dix, CCC-SLP
• Lisa Dobberke, MS, LPC
• Wendy K Dobbratz, RDH

• Dentist in Stevens Point, WI
• Providers in Stevens Point, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.