DR. JAMES DOUGLAS DICKINSON (NPI# 1922109552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922109552 |
Entity Type | Individual |
Full Name | DR. JAMES DOUGLAS DICKINSON |
Credential | DDS |
Practice Address |
11777 Bernardo Plaza Ct Suite 102 San Diego CA 92128-2405 |
Mailing Address |
13105 Avenida La Valencia Poway CA 92064-1905 |
Practice Telephone | 8584877766 |
Practice Fax Number | 8584875539 |
Mailing Telephone | 8584874198 |
Enumeration Date | 2006-09-26 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
46047 | CA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104192541 | James Dickinson | Radiology | 1990 Connecticut Ave S, Sartell, MN 56377-2554 | 2012-03-30 |
1902105554 | James Lewis Dickinson | Pharmacist | 101 Asbury St, Talladega, AL 35160-2570 | 2011-03-22 |
1992841894 | James C Dickinson | Physician Assistant | 4251 Sunset Dr, San Angelo, TX 76904-5653 | 2007-01-29 |
1700999059 | James M Dickinson | Surgery | 2121 E Harmony Rd, Suite 250, Fort Collins, CO 80528-3400 | 2006-08-17 |
Street Address |
11777 BERNARDO PLAZA CT SUITE 102 |
City | SAN DIEGO |
State | CA |
Zip Code | 92128-2405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326021643 | Robert Bruce Folk Jr. | Dentist | 11777 Bernardo Plaza Ct, Suite 209, San Diego, CA 92128-2405 | 2005-11-21 |
1013305325 | Theresa Gagos | Psychologist | 11777 Bernardo Plaza Ct, Ste 108, San Diego, CA 92128-2405 | 2015-01-08 |
1891002317 | Thomas Banning Scarfe Jr. | Dentist | 11777 Bernardo Plaza Ct, Suite 101, San Diego, CA 92128-2405 | 2010-09-03 |
1679694319 | William S. Bate, D.m.d.,a.p.c. | Clinic/Center | 11777 Bernardo Plaza Ct, Suite # 207, San Diego, CA 92128-2405 | 2007-04-02 |
1740309798 | William Santford Bate | Dentist | 11777 Bernardo Plaza Ct, Suite #207, San Diego, CA 92128-2405 | 2007-03-29 |
1720102601 | Barry Todd Zimmer | Acupuncturist | 11777 Bernardo Plaza Ct, Suite 107, San Diego, CA 92128-2405 | 2007-03-18 |
1235266842 | John Daniel Brian Jr. | Dentist | 11777 Bernardo Plaza Ct, Suite 209, San Diego, CA 92128-2405 | 2007-02-28 |
1952454514 | Melissa Faith Osgood | Social Worker | 11777 Bernardo Plaza Ct, Suite 210, San Diego, CA 92128-2405 | 2007-01-18 |
1518025923 | Mandometer Inc. | Clinic/Center | 11777 Bernardo Plaza Ct, Suite 208, San Diego, CA 92128-2405 | 2006-12-05 |
1154407963 | Jeffrey Alan Bloch | Dentist | 11777 Bernardo Plaza Ct, Suite 101, San Diego, CA 92128-2405 | 2006-10-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
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Taxonomy Code | 1223P0700X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Prosthodontics |
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902154057 | Lynne Ann March | Dentist | 4685 Vista St, San Diego, CA 92116-4848 | 2012-08-21 |
1679733240 | Adam Jeffrey Geach | Dentist | 11777 Bernardo Plaza Ct Ste 102, San Diego, CA 92128-2450 | 2008-06-16 |
1164611455 | Nathan James Hornsby | Dentist | 940 B St, San Diego, CA 92101-4609 | 2007-10-23 |
1942340104 | Miguel Agustin Grillo | Dentist | 12264 El Camino Real Ste 306, San Diego, CA 92130-3062 | 2007-02-07 |
1215076534 | Raymond E. Carpenter | Dentist | 16766 Bernardo Center Dr Ste 212, San Diego, CA 92128-2557 | 2007-02-05 |
1891831517 | Tony G Chammas | Dentist | 7910 Frost St Ste 160, San Diego, CA 92123-2771 | 2007-01-29 |
1285786616 | Bosworth, Inc A Dental Corporation | Dentist | 7675 Dagget St, #160, San Diego, CA 92111-2200 | 2007-01-17 |
1013075324 | Dun G Thi Phuong Nguyen | Dentist | 3426 University Ave, San Diego, CA 92104-2201 | 2006-12-05 |
1679656789 | Fred W Kamansky | Dentist | 6529 Mission Gorge Road, San Diego, CA 92120-2376 | 2006-10-23 |
1447342571 | Edward John Givens Jr. | Dentist | 2276 Fenton Pkwy, #216, San Diego, CA 92108-4750 | 2006-09-28 |
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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.