Active NPI
Sherry Elizabeth Dickey, PH.D.
- Specialist
- Austin, TX
National Provider Identifier
1932374410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2-4280
- Practice address
- 5511 Parkcrest Dr
Ste. 206
Austin, TX 78731-4938 - Phone
- (512) 452-3035
- NPI assigned
- Apr 25, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 2-4280 | TX | Primary |
Addresses
Primary practice location
5511 Parkcrest Dr
Ste. 206
Austin, TX 78731-4938
Mailing address
5511 Parkcrest Dr
Ste. 206
Austin, TX 78731-4938
Phone (512) 452-3035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 22, 2022 through Mar 22, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24280 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 2-4280 | TX | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209081600000",
"number": "1932374410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5511 PARKCREST DR",
"address_2": "STE. 206",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314938",
"telephone_number": "512-452-3035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5511 PARKCREST DR",
"address_2": "STE. 206",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314938",
"telephone_number": "512-452-3035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKEY",
"first_name": "SHERRY",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-25",
"last_updated": "2008-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "2-4280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.