Wayne B. Hickory, D.M.D., M.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DEN 5856 Issued in DC

Practice address

2132 R St NW
Washington, DC 20008-1907

Phone

(202) 518-5910

Fax

(202) 462-6532

NPI assigned

Jan 5, 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

Locations

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.

• Evenly DC, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Washington, DC
  • NPI 1083214829
  NPD

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578610077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 R ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200081907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 R ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200081907",
            "telephone_number": "202-518-5910",
            "fax_number": "202-462-6532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKORY",
        "first_name": "WAYNE",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "DC",
            "license": "DEN 5856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Hickey, DPT
• Emma Teresa Hickman, MD
• Jermani Hickman, BSW
• Kaelyn Mone'T Hickman
• Shaffon Monae Hickman
• Sharon Michelle Hicks-Jones
• Brandy Michell Fayemi Hicks, MS
• Brenda Hicks
• Brenda E Hicks
• Briana Hicks

• Orthodontics and Dentofacial Orthopedics Dentistry in Washington, DC
• Providers in Washington, DC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in District of Columbia

• 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.