Active NPI
Kylie Paige Dickman, MD
- Surgery Physician
- Flagstaff, AZ
National Provider Identifier
1881223063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 81361
- Practice address
- 77 W Forest Ave Ste 201
Flagstaff, AZ 86001-1483 - Phone
- (928) 773-2222
- Fax
- (928) 773-2598
- NPI assigned
- Apr 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | 81361 | AZ | |
| Surgery Physician | 208600000X | 81361 | AZ | Primary |
Addresses
Primary practice location
77 W Forest Ave Ste 201
Flagstaff, AZ 86001-1483
Mailing address
77 W Forest Ave Ste 201
Flagstaff, AZ 86001-1483
Phone (928) 773-2222
Other practice location 1
2213 Cherry St
Toledo, OH 43608-2603
Phone (419) 251-6596
Other practice location 2
111 S Grant Ave
Columbus, OH 43215-1898
Phone (614) 566-9108
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200625002665 | OH | Order and Referring Only - General Surgery | 5193147882 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1881223063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 W FOREST AVE STE 201",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860011483",
"telephone_number": "928-773-2222",
"fax_number": "928-773-2598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 W FOREST AVE STE 201",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860011483",
"telephone_number": "928-773-2222",
"fax_number": "928-773-2598"
}
],
"practiceLocations": [
{
"address_1": "2213 Cherry St",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436082603",
"country_code": "US",
"telephone_number": "419-251-6596",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 S Grant Ave",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432151898",
"country_code": "US",
"telephone_number": "614-566-9108",
"fax_number": "614-566-9110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DICKMAN",
"first_name": "KYLIE",
"middle_name": "PAIGE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-08",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "AZ",
"license": "81361",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "81361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.