Individual provider Active NPI

Dan Ferrell Bickley Jr., RN

  • Registered Nurse
  • North Canton, OH
National Provider Identifier
1770885295
Registry record updated Dec 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
359853 Issued in OH
Practice address
8827 Stone LN NW
North Canton, OH 44720-7941
Phone
(330) 322-9063
NPI assigned
Dec 4, 2010
Last updated
Dec 4, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 359853 OH Primary

Addresses

Primary practice location

8827 Stone LN NW
North Canton, OH 44720-7941

Mailing address

8827 Stone LN NW
North Canton, OH 44720-7941
Phone (330) 322-9063

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
359853OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1291420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291420800000",
    "number": "1770885295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8827 STONE LN NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207941",
            "telephone_number": "330-322-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8827 STONE LN NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207941",
            "telephone_number": "330-322-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKLEY",
        "first_name": "DAN",
        "middle_name": "FERRELL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-04",
        "last_updated": "2010-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "359853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.