DR. JUSTIN DENHART DICKSON (NPI# 1780119867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780119867 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN DENHART DICKSON |
| Credential | DO |
| Practice Address |
101 Bodin Cir Fairfield Ca 94533 David Grant Medical Center Fpo AA 94533 |
| Mailing Address |
3525 Southern Blvd Kettering OH 45429-1221 |
| Practice Telephone | 7074237300 |
| Mailing Telephone | 9373958839 |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2018-06-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
101 BODIN CIR FAIRFIELD CA 94533 DAVID GRANT MEDICAL CENTER |
| City | FPO |
| State | AA |
| Zip Code | 94533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| 1295107936 | Baongan Dang | Pharmacist | 2701 N. Texas, Fairfield, CA 94533 | 2015-10-21 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724754 | William Dowling | Student in an Organized Health Care Education/Training Program | 260 John Paul Jones Circle, Fpo, AA 23708 | 2020-06-09 |
| 1831759018 | Courtney Vindigni | Student in an Organized Health Care Education/Training Program | Twentynine Palms, Fpo, AA 92277 | 2019-06-19 |
| 1467930164 | Alexa Clifton | Student in an Organized Health Care Education/Training Program | 2525 Callagan Hwy, Fpo, AA 92136 | 2018-08-03 |
| 1811492416 | Kyle Richardson | Student in an Organized Health Care Education/Training Program | Iii Mef Surgeon, Unit 35605, Fpo, AP 96382 | 2018-03-26 |
| 1629570171 | Brendan James O'shea | Student in an Organized Health Care Education/Training Program | 690 John Paul Jones Circle, Fpo, AA 23708 | 2018-03-01 |
| 1790285781 | Jacob Seamus Kammerman | Student in an Organized Health Care Education/Training Program | Iii Mef, Attn: Mssp Unit: 35605, Fpo, AP 96382-5605 | 2018-02-15 |
| 1255783767 | Ryan Kaye | Student in an Organized Health Care Education/Training Program | Nsa Bethesda, 8901 Wisconsin Ave, Bethesda, Md 20889, Fpo, AA 20889 | 2016-07-08 |
| 1912396342 | Anna Hosig | Student in an Organized Health Care Education/Training Program | Unit 100304, Box 1403, Fpo, AE 09573 | 2015-01-22 |
| 1699188391 | Paul Michael Bucking | Student in an Organized Health Care Education/Training Program | Uss Carl Vinson Cvn 70, Unit 100111, Oral Surgery Department, Fpo, AP 96629 | 2014-06-10 |
| 1841638251 | Brandon Reed Hadfield | Student in an Organized Health Care Education/Training Program | Naval Hospital Rota Psc819, Box 18, Fpo, AE 09465-0018 | 2013-06-07 |
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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.