Jon Douglas Dickie, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33030 Issued in CA

Practice address

345 F St
Suite 180
Chula Vista, CA 91910-2626

Phone

(619) 422-4598

Fax

(619) 422-3153

NPI assigned

Apr 12, 2007

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

State licenses

Practice roles

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

• Arshdeep Kaur Dental Corporation

  • Dental Clinic/Center
  • Chula Vista, CA
  • NPI 1861093551
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487878583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 F ST",
            "address_2": "SUITE 180",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102626",
            "telephone_number": "619-422-4598",
            "fax_number": "619-422-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 F ST",
            "address_2": "SUITE 180",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102626",
            "telephone_number": "619-422-4598",
            "fax_number": "619-422-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKIE",
        "first_name": "JON",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "33030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvette Marie Diaz, AMFT
• Zaira Chantal Diaz
• Philip M Dicenso, DPT
• Jennifer Frances Dickens, ED. S.
• Angeleah Dickey, BCBA
• Dominique Katherine Dickinson
• Garrett R Dien
• Ethan S Diep, O.D.
• Agnes Diezmo
• Dignity Kare Corporation

• General Practice Dentistry in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.