Taiwan Dickerson, MHPP

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1020 W Daisy Bates Dr
Little Rock, AR 72202-5402

Phone

(501) 371-9058

Fax

(501) 371-9082

NPI assigned

Oct 4, 2007

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

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1245428101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 W DAISY BATES DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722025402",
            "telephone_number": "501-371-9058",
            "fax_number": "501-371-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 W DAISY BATES DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722025402",
            "telephone_number": "501-371-9058",
            "fax_number": "501-371-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "TAIWAN",
        "credential": "MHPP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-04",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel R Dickens, MD
• Emily Erin Dickerson, PA
• Jimmy Don Dickerson
• Myia Dickerson, DO
• Shunta L Dickerson
• Tara Michelle Dickerson
• Ethan Royce Dickeson, DPT
• Grace Ann Dickey
• John R. E. Dickins, MD
• Leslie Hall Dickinson, D.D.S.

• Case Manager/Care Coordinator in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Case Manager/Care Coordinator in Arkansas

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