Organization Active NPI

Brian P. Dickinson, M.D., Inc

  • Plastic Surgery Physician
  • Newport Beach, CA
National Provider Identifier
1316242647
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A86239 Issued in CA
Legal business name
BRIAN P. DICKINSON, M.D., INC
Practice address
351 Hospital Rd Ste 305
Newport Beach, CA 92663-3505
Phone
(949) 612-8632
NPI assigned
Jan 18, 2011
Last updated
Jan 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Dr. Brian P Dickinson, MDNPI 1811173115
Title
President
Phone
(949) 612-8632

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X A86239 CA Primary

Addresses

Primary practice location

351 Hospital Rd Ste 305
Newport Beach, CA 92663-3505

Mailing address

351 Hospital Rd Ste 305
Newport Beach, CA 92663-3505
Phone (949) 612-8632

National Provider Directory

National Provider Directory

Locations

351 Hospital Rd
Ste 415
Newport Beach, CA 92663
Phone (949) 548-3177

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1316242647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 HOSPITAL RD STE 305",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633505",
            "telephone_number": "949-612-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 HOSPITAL RD STE 305",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633505",
            "telephone_number": "949-612-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN P. DICKINSON, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "DICKINSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-612-8632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A86239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.