Dickerson Pediatrics, P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

K7434 Issued in TX

Legal business name

DICKERSON PEDIATRICS, P.A.

Practice address

4760 Sweetwater Blvd
Suite 102
Sugar Land, TX 77479-3148

Phone

(281) 491-5439

Fax

(281) 240-0577

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Cassandra Dickerson, M.D.NPI 1922009851

Title

Executive Committee Member

Phone

(832) 643-7047

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Cassandra Nash Dickerson, M.D.,F.A.A.P.

  • Pediatrics Physician
  • Sugar Land, TX
  • NPI 1922009851
  NPD (past) Authorized official

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467505404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16985",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774966985",
            "telephone_number": "281-491-5439",
            "fax_number": "281-240-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 SWEETWATER BLVD",
            "address_2": "SUITE 102",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793148",
            "telephone_number": "281-491-5439",
            "fax_number": "281-240-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKERSON PEDIATRICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "EXECUTIVE COMMITTEE MEMBER",
        "authorized_official_telephone_number": "832-643-7047",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K7434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diat Insights
• Lindsey Diaz, CNIM, BS
• Wendy J Diaz
• Gina M Dicarlo, CNIM
• Daryl Dichoso, MD
• Cassandra Nash Dickerson, M.D.,F.A.A.P.
• Chelsie Nicole Dickson, MSN, RN, FNP-BC
• Udo Jane Dike
• Dilawar Ajani MD,PA
• Dimini Medical Weight and Wellness, PLLC

• Pediatrics Physician in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Pediatrics Physician in Texas

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.