Individual provider Active NPI

Dana Faye Dickson, PA

  • Physician Assistant
  • Overland Park, KS
National Provider Identifier
1285275149
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-02350 Issued in KS
Practice address
7520 W 160TH St
Overland Park, KS 66085-8128
Phone
(913) 871-8221
NPI assigned
Oct 2, 2019
Last updated
Jan 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-02350 KS Primary

Addresses

Primary practice location

7520 W 160TH St
Overland Park, KS 66085-8128

Mailing address

9704 Manor Rd
Leawood, KS 66206-2255
Phone (817) 528-1244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200921001494 KS Practitioner - Physician Assistant 8426476698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Valley Dermatology LLCGroup PAC ID 9133499973, 12 clinicians

Practice addresses (Care Compare)

7520 W 160TH St
Suite 100
Overland Park, KS 66085-8137
Phone (913) 871-8221

7840 W 165TH St
Suite 260
Overland Park, KS 66223-2925
Phone (913) 871-8221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology & Laser Center of San Diego PastSince Oct 1, 2019 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1285275149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9704 MANOR RD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662062255",
            "telephone_number": "817-528-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 W 160TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "660858128",
            "telephone_number": "913-871-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "DANA",
        "middle_name": "FAYE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.