Organization Active NPI

Hickman Orthodontic

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Indianapolis, IN
National Provider Identifier
1619163045
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
HICKMAN ORTHODONTIC
Practice address
8001 Shelby St
Suite #1
Indianapolis, IN 46227-5970
Phone
(317) 888-7807
Fax
(317) 888-0083
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Dr. Todd Andrew Hickman, D.D.S. M.S.D.NPI 1922144906
Title
Owner/President
Phone
(317) 888-7807

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

8001 Shelby St
Suite #1
Indianapolis, IN 46227-5970

Mailing address

8001 Shelby St
Suite #1
Indianapolis, IN 46227-5970
Phone (317) 888-7807

National Provider Directory

National Provider Directory

Locations

8001 Shelby St
Ste 1
Indianapolis, IN 46227
Phone (317) 888-7807

Practitioners & affiliated clinicians

Practitioners 2

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": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1619163045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 SHELBY ST",
            "address_2": "SUITE #1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462275970",
            "telephone_number": "317-888-7807",
            "fax_number": "317-888-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 SHELBY ST",
            "address_2": "SUITE #1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462275970",
            "telephone_number": "317-888-7807",
            "fax_number": "317-888-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKMAN ORTHODONTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "317-888-7807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S. M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.