Douglas James Dickey, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2011012590 Issued in MO

Practice address

2901 Rockcreek Pkwy
Kansas City, MO 64117-2536

Phone

(816) 201-2273

NPI assigned

Jul 28, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311811200000",
    "number": "1932487790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13008 FALMOUTH ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662091788",
            "telephone_number": "913-766-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 ROCKCREEK PKWY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641172536",
            "telephone_number": "816-201-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKEY",
        "first_name": "DOUGLAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-28",
        "last_updated": "2011-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2011012590",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-06-5652",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0979160",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Dibenedetto
• Michael Julius Dibernardo, MD
• John Michael Dicapo, DPT, ATC
• Dickerson Isl
• Diana Lynn Dickey, PT
• Alexandra Kay Dickinson, RN
• Kendrea Dickinson
• Lois Jean Dickinson, ANP
• Matthew Dickinson
• Jodi Jean Dickmeyer, M.D.

• Family Medicine Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; 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.