Todd Andrew Hickman, DDS, MSD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

12009869A Issued in IN

Practice address

8001 Shelby St
Suite 1
Indianapolis, IN 46227-5985

Phone

(317) 888-7807

Fax

(317) 888-0083

NPI assigned

Jan 29, 2007

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 IN

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

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.

• Hickman Orthodontic

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Indianapolis, IN
  • NPI 1619163045
  NPD (past) Authorized official
• Orthodontic Partners of Indiana, LLC

  dba Gorman & Bunch Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Noblesville, IN
  • NPI 1942089081
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922144906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 SHELBY ST",
            "address_2": "SUITE 1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462275970",
            "telephone_number": "317-888-7807",
            "fax_number": "317-888-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 SHELBY ST",
            "address_2": "SUITE 1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462275985",
            "telephone_number": "317-888-7807",
            "fax_number": "317-888-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "TODD",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IN",
            "license": "12009869A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Richard Hickman, D.D.S.
• John Hickman, RBT
• Laura Hickman
• Leslie A Hickman, LMHC
• Michelle Hickman, BCBA
• Whitney Hickman
• Adam Christopher Hicks, M.D.
• Alison Pearl Hicks
• Ariel Hicks
• Brenda Lee Hicks, B.S.W.

• Orthodontics and Dentofacial Orthopedics Dentistry in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.