Eric W Hickman DDS Inc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

30020260 Issued in OH

Legal business name

ERIC W HICKMAN DDS INC

Practice address

3116 L Montgomery Rd
Maineville, OH 45039

Phone

(513) 697-9772

Fax

(513) 697-0227

NPI assigned

Jan 29, 2007

Last updated

Aug 28, 2012By 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. Eric Wayne Hickman, DDS MSNPI 1710429568

Title

Orthodontist President

Phone

(513) 697-9772

Specialties & licenses 1

Addresses

Locations

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.

• Eric Wayne Hickman, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Maineville, OH
  • NPI 1710429568
  NPD (past) Authorized official

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1336285113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 L MONTGOMERY RD",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "45039",
            "telephone_number": "513-697-9772",
            "fax_number": "513-697-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 L MONTGOMERY RD",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "45039",
            "telephone_number": "513-697-9772",
            "fax_number": "513-697-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC W HICKMAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "ORTHODONTIST PRESIDENT",
        "authorized_official_telephone_number": "513-697-9772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30020260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Erin Ealy, RN
• Emily S Elma, LISW-S, CDP
• Maria Rose Emmerich
• Margaret Engelhard
• Rodney Epperson
• Anne B. Evans, PT
• Evertrust Homecare LLC
• Athena Renae Farmer, I.B.C.L.C.
• Robert James Faulkner, DMD
• Paola Krystal Felix Montalvo

• Orthodontics and Dentofacial Orthopedics Dentistry in Maineville, OH
• Providers in Maineville, OH by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.