Active NPI
David R Dickey, DDS
- Dentist
- Camden, MI
National Provider Identifier
1649215633
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Feb 20, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10654
- Practice address
- 120 1/2 Main St
Camden, MI 49232 - Phone
- (517) 368-5214
- NPI assigned
- Jun 17, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10654 | MI | Primary |
Addresses
Primary practice location
120 1/2 Main St
Camden, MI 49232
Mailing address
204 Dwight St
Camden, MI 49232-9500
Phone (517) 368-5421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4034310 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10654 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1649215633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 DWIGHT ST",
"city": "CAMDEN",
"state": "MI",
"postal_code": "492329500",
"telephone_number": "517-368-5421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 1/2 MAIN ST",
"city": "CAMDEN",
"state": "MI",
"postal_code": "49232",
"telephone_number": "517-368-5214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKEY",
"first_name": "DAVID",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "10654",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4034310",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Camden, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.