Dennis James Wickham, M.D.

Primary specialty

Forensic Pathology PhysicianTaxonomy code 207ZF0201X

License

MD00034361 Issued in WA

Practice address

900 W 13TH St
Vancouver, WA 98660-2711

Phone

(360) 397-6226

NPI assigned

Apr 18, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1609133396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61925",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986661925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W 13TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602711",
            "telephone_number": "360-397-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKHAM",
        "first_name": "DENNIS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "WA",
            "license": "MD00034361",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WA",
            "license": "MD00034361",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wholestic Living
• Narnia Wiborg
• Stephanie Mara Wichmann, MSW, LCSW/LICSW
• Iva Wick, LMHC
• Emily Wickert
• Shelby G Wickhorst, O.D.
• Jodi Lynn Wicks
• Teghan Elizebeth Wicks
• Linda C Widing, DO
• Amanda Widman, ATC

• Forensic Pathology Physician in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Forensic Pathology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.