Kimberlee Kay Dickerson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56205 Issued in CA

Practice address

590 Bosworth St
San Francisco, CA 94131-3201

Phone

(415) 585-1500

NPI assigned

Sep 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251936000000",
    "number": "1295921559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 BOSWORTH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941313201",
            "telephone_number": "415-585-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 BOSWORTH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941313201",
            "telephone_number": "415-585-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "KIMBERLEE",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2009-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline E Dickens
• Daphne Dickens
• Maria Pia Dickenson, RN
• Nathaniel Corsino Dickenson
• Artena Dickerson
• Mariah Dickerson, ASW
• Mary G. Dickerson
• Andrea Dickey, PHD
• David Grayson Dickey
• Emily Joyce Dickey, MD

• General Practice Dentistry in San Francisco, CA
• Providers in San Francisco, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.