William Daryl Dickey, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

J2552 Issued in TX

Practice address

2850 Lewis LN
Ste 111
Paris, TX 75460-9383

Phone

(903) 785-0025

Fax

(903) 784-4140

NPI assigned

Dec 8, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1356401707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 LEWIS LN",
            "address_2": "STE 111",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609383",
            "telephone_number": "903-785-0025",
            "fax_number": "903-784-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 LEWIS LN",
            "address_2": "STE 111",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609383",
            "telephone_number": "903-785-0025",
            "fax_number": "903-784-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKEY",
        "first_name": "WILLIAM",
        "middle_name": "DARYL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "J2552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039347601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "100002363",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "100143530A",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joe Lee Deupree, D.O.
• Devabrata Ganguly MD PA
• Diabetrx Care
• Diakhomba Diaby, NP-C
• Diamondback Pain PA
• Digestive Disease Center
• Digital Mammography of NE Texas, LTD
• Charles Udo Nnamdi Dike, BPHARM
• Chad Alan Dilbeck, PHARM.D.
• Diversicare Paris, LLC

• Gastroenterology Physician in Paris, TX
• Providers in Paris, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.