NPIMap

Organization Active NPI

Benjamin C. Dickert

  • Primary Podiatric Medicine Podiatrist
  • Springfield, MA
National Provider Identifier
1871048462
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
1884 Issued in MA
Legal business name
BENJAMIN C. DICKERT
Practice address
780 Chestnut St
Suite 8
Springfield, MA 01107-1637
Phone
(413) 736-3225
Fax
(413) 736-3382
NPI assigned
Aug 24, 2016
Organization subpart
Yes
Parent organization
BENJAMIN DICKERTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Authorized official

Name
Benjamin Charles Dickert, D.P.M.
Title
Owner
Phone
(413) 736-3225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X 1884 MA Primary

Addresses

Primary practice location

780 Chestnut St
Suite 8
Springfield, MA 01107-1637

Mailing address

780 Chestnut St
Suite 8
Springfield, MA 01107-1637
Phone (413) 736-3225

National Provider Directory

National Provider Directory
Part of
Benjamin C Dickert

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1871048462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 CHESTNUT ST",
            "address_2": "SUITE 8",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071637",
            "telephone_number": "413-736-3225",
            "fax_number": "413-736-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 CHESTNUT ST",
            "address_2": "SUITE 8",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071637",
            "telephone_number": "413-736-3225",
            "fax_number": "413-736-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN C. DICKERT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BENJAMIN DICKERT",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "DICKERT",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-736-3225",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MA",
            "license": "1884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.