Dickson Orthopaedic Centers

Primary specialty

SpecialistTaxonomy code 174400000X

License

C4277 Issued in AR

Legal business name

DICKSON ORTHOPAEDIC CENTERS

Practice address

9601 Lile Dr
#410
Little Rock, AR 72205-6321

Phone

(501) 225-6800

Fax

(501) 225-6898

NPI assigned

Oct 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Camelia D Morgan

Title

Office Manager

Phone

(501) 225-6800

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578648101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 LILE DR",
            "address_2": "#410",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056321",
            "telephone_number": "501-225-6800",
            "fax_number": "501-225-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 LILE DR",
            "address_2": "#410",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056321",
            "telephone_number": "501-225-6800",
            "fax_number": "501-225-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKSON ORTHOPAEDIC CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "CAMELIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-225-6800"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "C4277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5427418",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "51359",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "14302000000",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Michelle Dickerson
• Ethan Royce Dickeson, DPT
• Grace Ann Dickey
• John R. E. Dickins, MD
• Leslie Hall Dickinson, D.D.S.
• Jeffrey Douglas Dickson, M.D.
• Laura Dickson, MS CCC-SLP
• Scott Adrian Dickson, BS,RT,R,MR
• Julianne Dieckman, PA-C
• Chase Conway Diemer, D.D.S.

• Specialist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Specialist in Arkansas

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.