Donald George Dicken, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00028507 Issued in WA

Practice address

1200 North 14TH Avenue
Suite 275
Pasco, WA 99301-4079

Phone

(509) 545-0414

Fax

(509) 545-9398

NPI assigned

Dec 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

University of Minnesota Medical School, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ddicken@direct.lmc.md

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.

• Donald G. Dicken, MD, PC

  • Specialist
  • Pasco, WA
  • NPI 1083834428
  Medicare reassignment NPD
• Lourdes Hospital LLC

  • Critical Access Hospital
  • Pasco, WA
  • NPI 1831284280
  NPD

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1649334236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 NORTH 14TH AVENUE",
            "address_2": "SUITE 275",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993014079",
            "telephone_number": "509-545-0414",
            "fax_number": "509-545-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NORTH 14TH AVENUE",
            "address_2": "SUITE 275",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993014079",
            "telephone_number": "509-545-0414",
            "fax_number": "509-545-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKEN",
        "first_name": "DONALD",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00028507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1110584",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & IND",
            "identifier": "56275",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis L Bradshaw
• Michelle Kaye Deusner-Granrud, LMP
• Alejandro Diaz Jr.
• Marisa Diaz, R.N.
• Tami Diaz
• Sharyn Elizabeth Dickson, LMT
• Emily Diener, WHNP-BC
• Ethen Ditty
• Marybella Dodson, NURSE PRACTITIONER
• Moises Dominguez, CHW

• Specialist in Pasco, WA
• Providers in Pasco, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.