Donald Reed Dickinson III, DDS, MD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

100209 Issued in CA

Practice address

1100 S Mount Vernon Ave
Colton, CA 92324-4255

Phone

(909) 801-8144

NPI assigned

May 27, 2016

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

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: ddickinson831178@direct.memorialcare.org

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1336597558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E YORBA LINDA BLVD",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703006",
            "telephone_number": "714-376-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S MOUNT VERNON AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244255",
            "telephone_number": "909-801-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "DONALD",
        "middle_name": "REED",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-27",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "100209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diagnovera Inc
• Dialysis Center of Colton, a California General Partnership
• Diana Kim Dental Inc
• Matthew Patrick Diaz, D.O.
• Vianey Diaz, BA
• Michael Difronzo
• Jessica Dimian
• Xiaomeng Ding, AMFT
• Huong Kim Dinh
• Frances Dizon

• Oral & Maxillofacial Surgery (D.M.D.) in Colton, CA
• Providers in Colton, CA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.