Active NPI
Janet B Dickinson, MD
- Gastroenterology Physician
- Meriden, CT
National Provider Identifier
1942295449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 024578
- Practice address
- 199 W Main St
Meriden, CT 06451-4024 - Phone
- (203) 237-9445
- Fax
- (203) 639-8734
- NPI assigned
- Sep 12, 2005
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 024578 | CT | Primary |
Addresses
Primary practice location
199 W Main St
Meriden, CT 06451-4024
Mailing address
199 W Main St
Meriden, CT 06451-4024
Phone (203) 237-9445
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 083105 | Other | AETNA | |
| 001245786 | Medicaid | CT | |
| 4124110 | Other | AETNA | |
| 010024578CT01 | Other | BCBS | |
| 0V0177 | Other | HEALTH NET | |
| 530546 | Other | AETNA | |
| 724578 | Other | CT CARE | |
| P2639819 | Other | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024578 | CT | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261353600000",
"number": "1942295449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 W MAIN ST",
"city": "MERIDEN",
"state": "CT",
"postal_code": "064514024",
"telephone_number": "203-237-9445",
"fax_number": "203-639-8734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 W MAIN ST",
"city": "MERIDEN",
"state": "CT",
"postal_code": "064514024",
"telephone_number": "203-237-9445",
"fax_number": "203-639-8734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKINSON",
"first_name": "JANET",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-12",
"last_updated": "2009-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CT",
"license": "024578",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "083105",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001245786",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4124110",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "010024578CT01",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "0V0177",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "530546",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT CARE",
"identifier": "724578",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2639819",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Meriden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.