Richard Avery Dickinson Jr., D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

016.0064222 Issued in VT

Practice address

12 Mapleville Depot
St Albans, VT 05478

Phone

(802) 527-1227

Fax

(802) 527-3767

NPI assigned

Jun 30, 2010

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

Medicare fee-for-service enrollment

Enrolled in VT

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dickinson & Branon Dental Care, PLC

  • General Practice Dentistry
  • St Albans, VT
  • NPI 1275653594
  NPD (past)

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1689985095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MAPLEVILLE DEPOT",
            "city": "ST ALBANS",
            "state": "VT",
            "postal_code": "05478",
            "telephone_number": "802-527-1227",
            "fax_number": "802-527-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MAPLEVILLE DEPOT",
            "city": "ST ALBANS",
            "state": "VT",
            "postal_code": "05478",
            "telephone_number": "802-527-1227",
            "fax_number": "802-527-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "RICHARD",
        "middle_name": "AVERY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "016.0064222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Lee Dessureault, PHARMD
• Jordan Deutsch
• Jessica Dewes, LCMHC
• Dickinson & Branon Dental Care, PLC
• Richard A Dickinson, DDS
• Katharina J Diessel, LICSW
• Samantha Dixon
• Ashlea Dosanjh
• John X Dou, PSY. MA
• Thomas Peter Dowhan, MD

• General Practice Dentistry in St Albans, VT
• Providers in St Albans, VT by specialty
• General Practice Dentistry in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.