Bradley Lamar Dickens, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

035710 Issued in CA

Practice address

210 S Montclair St
Bakersfield, CA 93309-3164

Phone

(661) 397-0665

Fax

(661) 397-0370

NPI assigned

Mar 12, 2007

Last updated

Aug 24, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251072000000",
    "number": "1659403095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10607 FINCHLEY DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113502",
            "telephone_number": "661-665-2603",
            "fax_number": "661-665-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S MONTCLAIR ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933093164",
            "telephone_number": "661-397-0665",
            "fax_number": "661-397-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKENS",
        "first_name": "BRADLEY",
        "middle_name": "LAMAR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2009-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "035710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senorina Diaz
• Susan Nicole Diaz, LCSW
• Vianca Diaz
• Wendy Diaz
• Yvette Diaz
• Jeannie Dickens
• Dickersons Transportation LLC (Transportation)
• John Phillip Dickey, M.D.
• Teresa Dickey
• Joshu Craig Diebel

• General Practice Dentistry in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.