NPIMap

Organization Active NPI

Hickman Family Dental

  • Dentist
  • Urbandale, IA
National Provider Identifier
1932521176
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
07898 Issued in IA
Legal business name
HICKMAN FAMILY DENTAL
Practice address
7117 Hickman Rd
Urbandale, IA 50322-4851
Phone
(515) 276-4981
Fax
(515) 276-4864
NPI assigned
Jan 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Authorized official

Name
Dr. Bradley S Erickson, DDSNPI 1447385521
Title
Owner
Phone
(515) 276-4981

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 07898 IA Primary

Addresses

Primary practice location

7117 Hickman Rd
Urbandale, IA 50322-4851

Mailing address

7117 Hickman Rd
Urbandale, IA 50322-4851
Phone (515) 276-4981

National Provider Directory

National Provider Directory
Tax ID family
Erickson Dental Group2 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.

Locations

7117 Hickman Rd
Urbandale, IA 50322
Phone (515) 276-4981

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1932521176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7117 HICKMAN RD",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224851",
            "telephone_number": "515-276-4981",
            "fax_number": "515-276-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7117 HICKMAN RD",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224851",
            "telephone_number": "515-276-4981",
            "fax_number": "515-276-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKMAN FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-276-4981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IA",
            "license": "07898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.