NPIMap

Organization Active NPI

Dickinson Independent School District

  • Family Medicine Physician
  • Dickinson, TX
National Provider Identifier
1902237464
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K6014 Issued in TX
Legal business name
DICKINSON INDEPENDENT SCHOOL DISTRICT
Practice address
1804 FM 646 Rd W
Suite J
Dickinson, TX 77539-3232
Phone
(512) 466-7824
NPI assigned
Dec 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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

Authorized official

Name
Vicki Mims
Title
Superintendent of Schools
Phone
(281) 229-6022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X K6014 TX Primary

Addresses

Primary practice location

1804 FM 646 Rd W
Suite J
Dickinson, TX 77539-3232

Mailing address

PO Box Z
Dickinson, TX 77539-2026

National Provider Directory

National Provider Directory
Tax ID family
Dickinson Independent School District2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1902237464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX Z",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775392026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 FM 646 RD W",
            "address_2": "SUITE J",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775393232",
            "telephone_number": "512-466-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKINSON INDEPENDENT SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-10",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "MIMS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "SUPERINTENDENT OF SCHOOLS",
        "authorized_official_telephone_number": "281-229-6022"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K6014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.