Thomas Todd Hickman, D.D.S.,P.A.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11044 Issued in MD

Practice address

202 S Maple Ave
Chestertown, MD 21620-1626

Phone

(410) 778-1297

Fax

(410) 778-3552

NPI assigned

Mar 25, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237939200000",
    "number": "1265674089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S MAPLE AVE",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201626",
            "telephone_number": "410-778-1297",
            "fax_number": "410-778-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S MAPLE AVE",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201626",
            "telephone_number": "410-778-1297",
            "fax_number": "410-778-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "THOMAS",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "11044",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "11044",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julianna Hedberg
• Linda Marie Hendrickson, PHARMD
• Susan Lynn Henry, CRNP
• Heron Point of Chestertown Inc.
• Michael C. Hickman, PTA
• Bonnie Hill, RN
• Lynda Michele Hillyer, R.PH.
• Holistic Therapies, LLC
• Holistic Therapies, LLC
• Ebony Hollins, NP

• General Practice Dentistry in Chestertown, MD
• Providers in Chestertown, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.