David C Hickey, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.024447 Issued in OH

Practice address

7544 Dayton Springfield Rd
Fairborn, OH 45324-1902

Phone

(937) 864-2341

Fax

(937) 864-1997

NPI assigned

May 21, 2015

Sex

Male

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• David Hickey Dental LLC

  dba Mad River Family Dental

  • Dental Clinic/Center
  • Fairborn, OH
  • NPI 1922583426
  NPD

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584748800000",
    "number": "1326427501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "ENON",
            "state": "OH",
            "postal_code": "453230338",
            "telephone_number": "937-864-2341",
            "fax_number": "937-864-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7544 DAYTON SPRINGFIELD RD",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453241902",
            "telephone_number": "937-864-2341",
            "fax_number": "937-864-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "DAVID",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-21",
        "last_updated": "2020-03-21",
        "certification_date": "2020-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.024447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad A. Herrberg, OT
• Heather Herring
• Jonathan Hester, MD
• Carla Hetric-Daniel
• Karen Heydinger
• Rebecca Hickey, FNP-BC
• Brandi Michelle Hickman, D.C.
• Stephen Hickman, LCDCIII
• Emma Hicks
• Lakeysha Danyeal Hicks

• General Practice Dentistry in Fairborn, OH
• Providers in Fairborn, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.