DICKERSONDALLASPAIN (NPI# 1245635150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245635150 |
| Entity Type | Organization |
| Organization Name | DICKERSONDALLASPAIN |
| Practice Address |
5920 Forest Park Rd Suite 540 Dallas TX 75235-6411 |
| Practice Telephone | 2142313134 |
| Practice Fax Number | 2142313133 |
| Mailing Telephone | 2142313134 |
| Mailing Fax Number | 2142313133 |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |
| Authorized Official Name | DR. KAREN DELANE DICKERSON (PRESIDENT) |
| Authorized Official Telephone | 2142313134 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | J4083 | TX | Ambulatory Health Care Facilities |
| Street Address |
5920 FOREST PARK RD SUITE 540 |
| City | DALLAS |
| State | TX |
| Zip Code | 75235-6411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063415883 | Guy Kenneth Driggs | Orthopaedic Surgery | 5920 Forest Park Rd, Ste 530, Dallas, TX 75235-6413 | 2005-05-24 |
| 1710331202 | Grace Deng Yuan | Student in an Organized Health Care Education/Training Program | 5920 Forest Park Rd, Dallas, TX 75390-9165 | 2016-04-20 |
| 1073999801 | Central Dallas Surgery Center, LLC | Clinic/Center | 5920 Forest Park Rd, Ste, 700, Dallas, TX 75235-6411 | 2015-08-04 |
| 1356729784 | Rene M Mani | Pharmacist | 5920 Forest Park Rd, Suite 500, Dallas, TX 75235-6411 | 2015-05-18 |
| 1396979571 | Tasaduq Hussain Mir | Family Medicine | 5920 Forest Park Rd, # 601, Dallas, TX 75235-6411 | 2009-05-04 |
| 1598917916 | Baylen Diagnostic LLC | Radiologic Technologist | 5920 Forest Park Rd, Suite 560, Dallas, TX 75235-6411 | 2008-10-16 |
| 1215184460 | Podiatric Mid City Surgical Associates | Clinic/Center | 5920 Forest Park Rd, Suite 700, Dallas, TX 75235-6411 | 2008-08-19 |
| 1346405479 | Otow V Surgery | Clinic/Center | 5920 Forest Park Rd, Suite 700, Dallas, TX 75235-6411 | 2008-07-29 |
| 1376707885 | Moprem Surgical Associates Pa | Clinic/Center | 5920 Forest Park Rd, Suite 700, Dallas, TX 75235-6411 | 2008-07-14 |
| 1356503171 | Jw Surgical Associates | Clinic/Center | 5920 Forest Park Rd, Suite 700, Dallas, TX 75235-6411 | 2008-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058895 | Kailey Elaine Flowers | Physical Therapy Assistant | 2400 Empire Central Drive, Suite B, Dallas, TX 75235 | 2020-06-19 |
| 1265061071 | Bella Xinyi O'malley | Student in an Organized Health Care Education/Training Program | 1935 Medical Drive, Dallas, TX 75235 | 2020-04-03 |
| 1427687318 | Can Ozlu | Student in an Organized Health Care Education/Training Program | Children's Medical Center of Dallas, 1935 Medical Distr, Dallas, TX 75235 | 2020-04-03 |
| 1689137515 | Tarek Mansi | Student in an Organized Health Care Education/Training Program | 2222 Medical District Dr Apt 4325, Dallas, TX 75235 | 2019-04-08 |
| 1386117125 | Christine Elizabeth Smith | Physician Assistant | 8134 Tex Oak Avenue, Dallas, TX 75235 | 2019-01-04 |
| 1447720016 | Michelle Angelina Dye | Physician Assistant | 5959 Maple Avenue Apt 1171, Dallas, TX 75235 | 2018-11-27 |
| 1255869335 | Andrea Nicole Pennington-peace | Specialist/Technologist, Other | 1935 Medial District, Dallas, TX 75235 | 2017-06-01 |
| 1194258152 | Tricia Rood | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd., Dallas, TX 75235 | 2017-04-06 |
| 1437690971 | Robin Lee | Counselor | 8915 Hrry Hines Blvd, Dallas, TX 75235 | 2017-03-16 |
| 1871033746 | Javier Davila-lopez | Counselor | 1545 Mockingbird Lane, Suite 4000, Dallas, TX 75235 | 2017-02-27 |
| Find all providers in zip 75235 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214375 | Hippomed Wellness Clinics Limited Company | Clinic/Center | 5930 Lbj Fwy Ste 380, Dallas, TX 75240-6370 | 2020-07-31 |
| 1417566415 | Bonnieview-overton Medical Clinic | Clinic/Center | 3507 Bonnie View Rd, Dallas, TX 75216-4704 | 2020-07-26 |
| 1679123632 | Equilyst LLC. | Clinic/Center | 2909 Canton St Ste C, Dallas, TX 75226-3508 | 2019-09-12 |
| 1962977355 | Resolves Healthcare Services, LLC | Clinic/Center | 5151 Belt Line Rd Ste 715, Dallas, TX 75254-7547 | 2018-10-11 |
| 1376067793 | William Parker Highland Park | Clinic/Center | 4442 Lovers Lane, Dallas, TX 75225-6923 | 2017-07-27 |
| 1851724918 | Joey D. Tran, Od Pllc | Clinic/Center | 5334 Ross Ave Ste 100, Dallas, TX 75206-7402 | 2013-08-13 |
| 1972856631 | Bridge Medical Group LLC | Clinic/Center | 4303 N Central Expy, Dallas, TX 75205-5597 | 2012-10-18 |
| 1609127000 | Lyndsay M Posey | Clinic/Center | 289 E Ellendale Ave Ste 601, Dallas, OR 97338-1570 | 2012-09-25 |
| 1780969584 | Questcare | Clinic/Center | 12221 Merit Dr Ste 1620, Dallas, TX 75251-2208 | 2011-10-13 |
| 1265664874 | Glamour Technology and Wellness | Clinic/Center | 206 S Zang Blvd, Dallas, TX 75208-4519 | 2009-08-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.