Individual provider Active NPI

Floyd Randolph Dickey, DDS

  • General Practice Dentistry
  • Roanoke, VA
National Provider Identifier
1740317270
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Practice address
1315 2ND St SW
Suite 100
Roanoke, VA 24016-4935
Phone
(540) 343-5521
Fax
(540) 343-0923
NPI assigned
Feb 28, 2007
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
General Practice Dentistry 1223G0001X VA Primary

Addresses

Primary practice location

1315 2ND St SW
Suite 100
Roanoke, VA 24016-4935

Mailing address

1315 2ND St SW
Suite 100
Roanoke, VA 24016-4935
Phone (540) 343-5521

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
401006157VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lynch, Dickey, and Singleton,Dentists Inc. General Practice Past Accepting new patients

Organizations & group practices 1

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740317270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 2ND ST SW",
            "address_2": "SUITE 100",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164935",
            "telephone_number": "540-343-5521",
            "fax_number": "540-343-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 2ND ST SW",
            "address_2": "SUITE 100",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164935",
            "telephone_number": "540-343-5521",
            "fax_number": "540-343-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKEY",
        "first_name": "FLOYD",
        "middle_name": "RANDOLPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.