Dickersondallaspain

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

J4083 Issued in TX

Legal business name

DICKERSONDALLASPAIN

Practice address

5920 Forest Park Rd
Suite 540
Dallas, TX 75235-6411

Phone

(214) 231-3134

Fax

(214) 231-3133

NPI assigned

Nov 4, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Karen Delane Dickerson, MD

Title

President

Phone

(214) 231-3134

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1245635150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 FOREST PARK RD",
            "address_2": "SUITE 540",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356411",
            "telephone_number": "214-231-3134",
            "fax_number": "214-231-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 FOREST PARK RD",
            "address_2": "SUITE 540",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356411",
            "telephone_number": "214-231-3134",
            "fax_number": "214-231-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKERSONDALLASPAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "DELANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-231-3134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "J4083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin R Dickerson, DO
• Emily B Dickerson, DDS
• Jennifer Dickerson, LPC-INTERN
• Kathryn Elyse Dickerson, MD
• Zsanae Dickerson, OTD
• Elizabeth Dickie
• Christin N. Dickinson, M.S, LPC
• Jennifer Dickinson
• Tamara Dickinson, AGNP
• Diana V Dickschat, M.D.

• Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.