Organization Active NPI

James W Dickey III MD Inc

  • Specialist
  • Salinas, CA
National Provider Identifier
1720398985
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00G378420 Issued in CA
Legal business name
JAMES W DICKEY III MD INC
Practice address
258 A San Jose St
Salinas, CA 93901
Phone
(831) 754-2238
Fax
(831) 754-0629
NPI assigned
Oct 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Authorized official

Name
Mrs. Leila K Dickey, RN
Title
Corporation Secretary
Phone
(831) 754-2238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 00G378420 CA Primary

Addresses

Primary practice location

258 A San Jose St
Salinas, CA 93901

Mailing address

258 A San Jose St
Salinas, CA 93901
Phone (831) 754-2238

Other identifiers 1

IdentifierTypeStateIssuer
4131823MedicaidCA

National Provider Directory

National Provider Directory

Locations

258 San Jose St
Ste A
Salinas, CA 93901
Phone (831) 754-2238

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1720398985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 A SAN JOSE ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "93901",
            "telephone_number": "831-754-2238",
            "fax_number": "831-754-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 A SAN JOSE ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "93901",
            "telephone_number": "831-754-2238",
            "fax_number": "831-754-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES W DICKEY III MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "DICKEY",
        "authorized_official_first_name": "LEILA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CORPORATION SECRETARY",
        "authorized_official_telephone_number": "831-754-2238",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "00G378420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4131823",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.