Individual provider Active NPI

Ronald Keith Dickey, DPM

  • Podiatrist
  • Freeport, IL
National Provider Identifier
1730103094
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Practice address
521 W Main St
Freeport, IL 61032-5051
Phone
(815) 233-0211
Fax
(815) 233-0214
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X IL Primary

Addresses

Primary practice location

521 W Main St
Freeport, IL 61032-5051

Mailing address

521 W Main St
Freeport, IL 61032-5051
Phone (815) 233-0211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016002601ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Illinois Podiatry PC Podiatrist CurrentSince Jul 13, 2007 Accepting new patients
Freeport Memorial Hospital Past Accepting new patients

Locations

521 W Main St
Freeport, IL 61032
Phone (815) 233-0211

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730103094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 W MAIN ST",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610325051",
            "telephone_number": "815-233-0211",
            "fax_number": "815-233-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W MAIN ST",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610325051",
            "telephone_number": "815-233-0211",
            "fax_number": "815-233-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKEY",
        "first_name": "RONALD",
        "middle_name": "KEITH",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, IL

Sources for this page

Verify at the official NPI Registry.