Individual provider Active NPI

Rand Dickson

  • Paramedic
  • Deer Lodge, MT
National Provider Identifier
1306610035
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
License
MED-PARA-LIC-52339 Issued in MT
Practice address
715 4TH St
Deer Lodge, MT 59722-1505
Phone
(406) 740-2646
NPI assigned
Nov 13, 2023
Last updated
Nov 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X MED-PARA-LIC-52339 MT Primary
Basic Emergency Medical Technician 146N00000X MED-EMT-LIC-68132 MT

Addresses

Primary practice location

715 4TH St
Deer Lodge, MT 59722-1505

Mailing address

715 4TH St
Deer Lodge, MT 59722-1505
Phone (406) 740-2646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MED-PARA-LIC-52339MTMDParamedic
MED-EMT-LIC-68132MTMDBasic Emergency Medical Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Rand W Dickson Interstate Medical Transport CurrentSince Nov 19, 2023 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": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1306610035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 4TH ST",
            "city": "DEER LODGE",
            "state": "MT",
            "postal_code": "597221505",
            "telephone_number": "406-740-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 4TH ST",
            "city": "DEER LODGE",
            "state": "MT",
            "postal_code": "597221505",
            "telephone_number": "406-740-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "RAND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "MT",
            "license": "MED-PARA-LIC-52339",
            "primary": true
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "MT",
            "license": "MED-EMT-LIC-68132",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Lodge, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.