Jenna Maggin Dickman, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

D0093859 Issued in MD

Practice address

50 Irving St NW Dept of
Washington, DC 20422-2113

Phone

(202) 745-8000

NPI assigned

Mar 31, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1376075028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD NW",
            "address_2": "DEPARTMENT OF UROLOGY",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072113",
            "telephone_number": "202-444-4922",
            "fax_number": "202-444-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 IRVING ST NW DEPT OF",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "204222113",
            "telephone_number": "202-745-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15810 Gaither Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208771441",
            "country_code": "US",
            "telephone_number": "301-591-5858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKMAN",
        "first_name": "JENNA",
        "middle_name": "MAGGIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MD",
            "license": "D0093859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huley Dru Shumpert Dickert, M.D.
• James Edward Dickert, D.D.S.
• William Dickey Jr.
• Mary Ann Dickie, R.D.
• Samantha Dickinson
• Margaret Grace Dickman
• Andrea J Dicks
• Carl Dicks
• Carol Dicks
• Cayla Delche Dicks

• Urology Physician in Washington, DC
• Providers in Washington, DC by specialty
• Urology Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.