Thomas Ralph Hickman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7751 Issued in CO

Practice address

5325 Fairway 6 Dr
Fort Collins, CO 80525-9102

Phone

(970) 232-9639

NPI assigned

May 22, 2008

Last updated

May 22, 2008By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1225295637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 FAIRWAY 6 DR",
            "city": "FT COLLINS",
            "state": "CO",
            "postal_code": "80525",
            "telephone_number": "970-232-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 FAIRWAY 6 DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805259102",
            "telephone_number": "970-232-9639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "THOMAS",
        "middle_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleanor Hickerson
• Brynn L Hickey
• Nathan Hickle
• Joshua Hickman, PA-C
• Lani R. Hickman, LCSW
• Karissa S Hicks, PEER
• Taylor Anne Hiebert, OTD, OTR/L
• Evan Hiew
• Juliet Gar Bek Higa, RD
• Kyle Richard Higbee, MD

• General Practice Dentistry in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.