Alexander Timothy Dicken

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

5303039917 Issued in MI

Practice address

500 Lafayette Ave
Bay City, MI 48708-7854

Phone

(989) 893-5200

NPI assigned

Jan 7, 2022

Last updated

Jan 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1659032944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LAFAYETTE AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087854",
            "telephone_number": "989-893-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LAFAYETTE AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087854",
            "telephone_number": "989-893-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKEN",
        "first_name": "ALEXANDER",
        "middle_name": "TIMOTHY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": null,
            "license": "P041184",
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MI",
            "license": "5303039917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1516581120",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natasha Rajiv Deshpande, MD
• Blair Devlin, MA, LLP
• Meghan Josephine Dewaele
• Angela May Dewey
• Kamalpreet Dhaliwal, MD
• Skylar Jewel Dickhausen
• Kari Ann Diebel
• Autumn Dietzel, LLBSW, DP-C
• Jessica Dietzel, LLMSW
• Sarah Lee Dilley

• Pharmacy Technician in Bay City, MI
• Providers in Bay City, MI by specialty
• Pharmacy Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.