NPIMap

Organization Active NPI

David L Dickerman, PLLC

  • Anesthesiology Physician
  • Richland, WA
National Provider Identifier
1801073275
Registry record updated Apr 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
36697 Issued in WA
Legal business name
DAVID L DICKERMAN, PLLC
Practice address
985 Goethals Dr
Richland, WA 99352-3527
Phone
(509) 946-9375
NPI assigned
Jan 28, 2008
Last updated
Apr 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2014

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

Authorized official

Name
Dr. David L Dickerman, MDNPI 1962432591
Title
Owner
Phone
(509) 539-9709

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 36697 WA Primary

Addresses

Primary practice location

985 Goethals Dr
Richland, WA 99352-3527

Mailing address

985 Goethals Dr
Richland, WA 99352-3527
Phone (509) 946-6375

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397779200000",
    "number": "1801073275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 GOETHALS DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523527",
            "telephone_number": "509-946-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 GOETHALS DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523527",
            "telephone_number": "509-946-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L DICKERMAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2014-04-18",
        "status": "A",
        "authorized_official_last_name": "DICKERMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-539-9709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "36697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; 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.