Zachary Hickman

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30023508 Issued in OH

Practice address

1000 E Broad St
Columbus, OH 43205-1381

Phone

(614) 258-3880

Fax

(614) 252-5873

NPI assigned

Oct 4, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Zachary N. Hickman DDS, LLC

  • General Practice Dentistry
  • Columbus, OH
  • NPI 1164035663
  NPD Authorized official
• Jacqueline Macy Cerar DDS Inc.

  • Dentist
  • Mentor, OH
  • NPI 1043612393
  NPD (past)

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1841574258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9485 MENTOR AVE 112",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440608724",
            "telephone_number": "440-255-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051381",
            "telephone_number": "614-258-3880",
            "fax_number": "614-252-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "ZACHARY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-04",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30023508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Hickman, PHARMD
• Kyle G Hickman, PA-C
• Kyle Ryan Hickman, DDS
• Marcia Hickman
• Rosanne Hickman, RN, BSN, MA, LPC
• Shari Hicks-Graham, M.D.
• Adrienne Shawnta Hicks, MBA
• Andrew J. Hicks, APRN.CRNA
• Ashley A Hicks, LMFT
• Ashley Marie Hicks

• General Practice Dentistry in Columbus, OH
• Providers in Columbus, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.