Sandra Dee Dickerson, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

J7469 Issued in TX

Practice address

400 W Interstate Hwy 635 Ste 130
Irving, TX 75063-3700

Phone

(972) 579-5222

Fax

(972) 579-3900

NPI assigned

May 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sandra.dickerson@direct.myteamcare.com

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.

• Mobile Hyperbaric Centers, LLC

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Cleveland, OH
  • NPI 1568410686
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1912964107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 224702",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752224702",
            "telephone_number": "972-579-5222",
            "fax_number": "972-579-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W INTERSTATE HWY 635 STE 130",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633700",
            "telephone_number": "972-579-5222",
            "fax_number": "972-579-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "SANDRA",
        "middle_name": "DEE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "TX",
            "license": "J7469",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "TX",
            "license": "J7469",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "J7469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Yuridia Diaz
• Thomas E Diaz, M.D.
• Melissa Gail Dibler
• Harold J Dickerson, MD
• Madison Dickerson
• Rosemary Leanette Didier, DMD
• Yazmin Alejandra Diego, COTA/L
• Different Is Beautiful LLC
• Dignacare at Home, LLC
• Elizabeth H Dilg, M.D.

• Surgery Physician in Irving, TX
• Providers in Irving, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.