Active NPI
David Craven Hickey, MD
- Diagnostic Radiology Physician
- McKinney, TX
National Provider Identifier
1659377513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 4931
- Practice address
- 8080 State Highway 121
Suite 350
McKinney, TX 75070-2901 - Phone
- (214) 906-0829
- NPI assigned
- Jun 24, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | 4931 | SD | |
| Diagnostic Radiology Physician | 2085R0202X | 4931 | SD | Primary |
Addresses
Primary practice location
8080 State Highway 121
Suite 350
McKinney, TX 75070-2901
Mailing address
8080 State Highway 121
Suite 350
McKinney, TX 75070-2901
Phone (214) 906-0829
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6620052 | Medicaid | SD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Clinic | Diagnostic Radiology | Past | Accepting new patients |
| Medical Interpretation & Therapy | Nuclear Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Nuclear Medicine Physician
- McKinney, TX
- NPI 1710160619
-
- Diagnostic Radiology Physician
- Fargo, ND
- NPI 1306641345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194566400000",
"number": "1659377513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8080 STATE HIGHWAY 121",
"address_2": "SUITE 350",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750702901",
"telephone_number": "214-906-0829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8080 STATE HIGHWAY 121",
"address_2": "SUITE 350",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750702901",
"telephone_number": "214-906-0829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKEY",
"first_name": "DAVID",
"middle_name": "CRAVEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2007-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "SD",
"license": "4931",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "SD",
"license": "4931",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6620052",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.