Active NPI
Katie Dickens, DDS
- Dentist
- Seguin, TX
National Provider Identifier
1366056558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 36621
- Practice address
- 104 W Cedar St
Seguin, TX 78155-3748 - Phone
- (832) 379-9310
- NPI assigned
- Sep 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 36621 | TX | Primary |
Addresses
Primary practice location
104 W Cedar St
Seguin, TX 78155-3748
Mailing address
1117 Elm Fall
Seguin, TX 78155-0092
Phone (252) 619-3632
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36621 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753747200000",
"number": "1366056558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 ELM FALL",
"city": "SEGUIN",
"state": "TX",
"postal_code": "781550092",
"telephone_number": "252-619-3632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 W CEDAR ST",
"city": "SEGUIN",
"state": "TX",
"postal_code": "781553748",
"telephone_number": "832-379-9310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKENS",
"first_name": "KATIE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-03",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "36621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seguin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.