Dicken PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

DICKEN PA

Practice address

1720 Highway 59 Southeast
Suite 1
Thief River Falls, MN 56701-0505

Phone

(218) 681-3300

Fax

(218) 681-6733

NPI assigned

Nov 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert A Dicken

Title

President

Phone

(218) 681-3300

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher J Borgen, OD

  • Optometrist
  • Thief River Falls, MN
  • NPI 1124045737
  NPD (past)
• Eric M Tjelle, OD

  • Optometrist
  • Thief River Falls, MN
  • NPI 1093732612
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295808582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 HIGHWAY 59 SOUTHEAST",
            "address_2": "SUITE 1",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "567010505",
            "telephone_number": "218-681-3300",
            "fax_number": "218-681-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 HIGHWAY 59 SOUTHEAST",
            "address_2": "SUITE 1",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "567010505",
            "telephone_number": "218-681-3300",
            "fax_number": "218-681-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKEN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DICKEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-681-3300",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "0824440",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "880931027628",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "17986",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dakota Clinic TRF Pharmacy
• Dakota Clinic, LTD. (Dakota Clinic, LTD. Thief River Falls)
• Dakota Clinic, LTD. (Dakota Clinic, Ltd. - Thief River Falls)
• Daniel R. Vandeventer, Inc. (Hometown Hearing Solutions)
• Terrence Robert Demars, LICSW
• Nathan Dicken, D.C.
• Tracey Dillon, RD, LRD
• Thomas Peter Dimich, DDS
• Mark Andre Dupont, MA LP LADC
• David Edwards

• Ophthalmology Physician in Thief River Falls, MN
• Providers in Thief River Falls, MN by specialty
• Ophthalmology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.