Daryl S Dickson, MD

Key facts

NPI

1215029939

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

2401 (SD)

Practice address

113 Comanche Rd
Fort Meade, SD 57741-1002

Phone

(605) 720-7000

NPI assigned

Sep 29, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 6

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

• Black Hills Surgical Hospital, LLC Urgent Care Clinic/Center · Rapid City, SD · NPI 1336009646
  Medicare reassignment Care Compare group SD
• Black Hills Surgical Hospital, LLC Special Hospital · Rapid City, SD · NPI 1376896621
  Care Compare group NPD
• Black Hills Surgical Hospital, LLC Special Hospital · Rapid City, SD · NPI 1679535132
  Care Compare group
• Black Hills Surgical Hospital, LLC Urgent Care Clinic/Center · Rapid City, SD · NPI 1124385554
  NPD
• Black Hills Surgical Hospital, LLC Anesthesiology Physician · Rapid City, SD · NPI 1972630275
  NPD
• Black Hills Surgical Hospital, LLP Surgery Physician · Rapid City, SD · NPI 1417304924
  NPD (past)

Medicare Care Compare profile

Specialty

Family Practice

Education

Sanford School of Medicine of University of South Dakota, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Black Hills Surgical Hospital LLC (173 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in SD

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215029939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 COMANCHE RD",
            "city": "FORT MEADE",
            "state": "SD",
            "postal_code": "577411002",
            "telephone_number": "605-720-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 COMANCHE RD",
            "city": "FORT MEADE",
            "state": "SD",
            "postal_code": "577411002",
            "telephone_number": "605-720-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "DARYL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Meade, SD

• Cara E Deiss, RN
• Anna Rae Delzer
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• Anjali Dhanda, M.D.
• Lyanna Diaz, PSYD
• James Dietz
• Eden J Dillon, RN
• Paul Dinkins, RN
• Trish Dinkins
• Sarah Dirksen

All providers in Fort Meade, SD · Family Medicine Physician in South Dakota