Organization Active NPI

Rob Dickerman DO PHD PA

  • Neurological Surgery Physician
  • Frisco, TX
National Provider Identifier
1942370960
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
ROB DICKERMAN DO PHD PA
Practice address
5575 Frisco Square Blvd Ste 110
Frisco, TX 75034-3309
Phone
(972) 238-0512
Fax
(972) 378-6925
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Rob Dickerman, D.O.NPI 1962424747
Title
Neurosurgeon
Phone
(972) 238-0512

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
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

5575 Frisco Square Blvd Ste 110
Frisco, TX 75034-3309

Mailing address

6200 W Parker Rd
Mob1-503
Plano, TX 75093-7939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070124000385 TX Part B Supplier - Clinic/Group Practice 9739180472 Receives reassigned benefits from 2 practitioners
Practice locations: Frisco, TX

National Provider Directory

National Provider Directory

Locations

2595 Dallas Pkwy
Ste 412
Frisco, TX 75034

6200 W Parker Rd
#1503
Plano, TX 75093
Phone (972) 238-0512

6200 W Parker Rd
#1
Plano, TX 75093
Phone (972) 238-0512

6200 W Parker Rd
#1502
Plano, TX 75093
Phone (972) 238-0512

Practitioners & affiliated clinicians

Practitioners 3

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": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1942370960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 W PARKER RD",
            "address_2": "MOB1-503",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 FRISCO SQUARE BLVD STE 110",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343309",
            "telephone_number": "972-238-0512",
            "fax_number": "972-378-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROB DICKERMAN DO PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "DICKERMAN",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "NEUROSURGEON",
        "authorized_official_telephone_number": "972-238-0512",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.