Rodger C. Dickinson, Jr., M.D., PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

RODGER C. DICKINSON, JR., M.D., PA

Practice address

1504 SE 28TH St
Bentonville, AR 72712-3988

Phone

(479) 273-1111

Fax

(479) 273-1255

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Rodger C Dickinson Jr., MDNPI 1134190697

Title

President

Phone

(479) 273-1111

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rodger C Dickinson Jr., M.D.

  • Orthopaedic Surgery Physician
  • Bentonville, AR
  • NPI 1134190697
  NPD (past) Authorized official

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356408298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 SE 28TH ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123988",
            "telephone_number": "479-273-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 SE 28TH ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123988",
            "telephone_number": "479-273-1111",
            "fax_number": "479-273-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODGER C. DICKINSON, JR., M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DICKINSON",
        "authorized_official_first_name": "RODGER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-273-1111",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Paige Robertson, APRN
• Katina Robinson, MHPP
• Prince Edward Robinson Jr., PHARMD
• Robyn Nelson Counseling, PLLC (4 Rivers Counseling, PLLC)
• Tondalaya Rochell
• Kristen Rodgers
• Melissa A Rodgers
• Wanda Rodinsky, LCSW
• Harvey James Roeder III, D.C.
• Alyssa Kay Turner Rogers, LCSW

• Orthopaedic Surgery Physician in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Orthopaedic Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.