Individual provider Active NPI

Terra K Hickey, DDS

  • General Practice Dentistry
  • Center Point, IA
National Provider Identifier
1285714758
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8044 Issued in IA
Practice address
907 Bank CT
Center Point, IA 52213-9337
Phone
(319) 849-1171
Fax
(319) 849-2453
NPI assigned
Oct 17, 2006
Last updated
Jan 25, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8044 IA Primary

Addresses

Primary practice location

907 Bank CT
Center Point, IA 52213-9337

Mailing address

907 Bank CT
Center Point, IA 52213-9337
Phone (319) 849-1171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20150501001690 IA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1759600315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8044IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Center Point Family Dentistry PLLC General Practice Past Accepting new patients

Organizations & group practices 1

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1285714758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 BANK CT",
            "city": "CENTER POINT",
            "state": "IA",
            "postal_code": "522139337",
            "telephone_number": "319-849-1171",
            "fax_number": "319-849-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 BANK CT",
            "city": "CENTER POINT",
            "state": "IA",
            "postal_code": "522139337",
            "telephone_number": "319-849-1171",
            "fax_number": "319-849-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "TERRA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "8044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Point, IA

Sources for this page

Verify at the official NPI Registry.