NPIMap

Organization Active NPI

Gerald Lewis Dickman, D.O., PLLC

  • Primary Care Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1497944573
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
1726 Issued in OK
Legal business name
GERALD LEWIS DICKMAN, D.O., PLLC
Practice address
3400 NW Expressway
Building C, Suite 604
Oklahoma City, OK 73112-4493
Phone
(405) 945-4828
Fax
(405) 945-4831
NPI assigned
Oct 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Dr. Gerald Lewis DickmanNPI 1215982731
Title
Physician
Phone
(405) 945-4828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 1726 OK Primary

Addresses

Primary practice location

3400 NW Expressway
Building C, Suite 604
Oklahoma City, OK 73112-4493

Mailing address

3400 NW Expressway
Building C, Suite 604
Oklahoma City, OK 73112-4493
Phone (405) 945-4828

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1497944573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 NW EXPRESSWAY",
            "address_2": "BUILDING C, SUITE 604",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124493",
            "telephone_number": "405-945-4828",
            "fax_number": "405-945-4831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 NW EXPRESSWAY",
            "address_2": "BUILDING C, SUITE 604",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124493",
            "telephone_number": "405-945-4828",
            "fax_number": "405-945-4831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD LEWIS DICKMAN, D.O., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "DICKMAN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "405-945-4828",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OK",
            "license": "1726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.