Elvis W Dickson

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

812921961A1 Issued in AZ

Practice address

10904 E Sebring Ave
Mesa, AZ 85212-5229

Phone

(480) 399-3727

NPI assigned

Oct 24, 2020

Last updated

Apr 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hearts of Arizona

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1174210041
  NPD Authorized official
• Open Arms Youth Homes

  • Community/Behavioral Health Agency
  • Mesa, AZ
  • NPI 1144917006
  NPD Authorized official

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

{
    "created_epoch": "1603497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1477152916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10904 E SEBRING AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852125229",
            "telephone_number": "480-399-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10904 E SEBRING AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852125229",
            "telephone_number": "480-399-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "ELVIS",
        "middle_name": "W",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-24",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "AZ",
            "license": "812921961A1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzie Ann Dickey, APRN
• Kevin Michael Dicks, PHARM. D.
• Lisa Ann Dicks, PHARM.D.
• Danielle Elizabeth Dickshinski, L.AC.
• Claudia Silveri Dickson, COTAL
• Shaneylin Dickson, SLPA
• Tanner Stefan Dictter
• Haley Tricia Lynn Didelotte, CCC-SLP
• Kevan Didier, OTD
• Gregory G Diede

• Foster Care Agency in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Foster Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.