MR. DAVID CARROLL DICKSON 1.CERTIFIED PEDORTHI NPI 1134246895

NPI Information

NPI: 1134246895
Provider Name: MR. DAVID CARROLL DICKSON, 1.CERTIFIED PEDORTHI
Classification: Pedorthist - 224L00000X
Entity Type: Individual
Address:
612 W. SHERIDAN AVENUE
SHENANDOAH, IA
ZIP 51601
Phone: (712) 246-2635
Get Directions

MR. David Carroll Dickson, 1.CERTIFIED PEDORTHI is a pedorthist in Shenandoah, IA. The provider is an individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. MR. David Carroll Dickson, 1.CERTIFIED PEDORTHI NPI is 1134246895. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

612 W. SHERIDAN AVENUE
SHENANDOAH, IA
ZIP 51601
Phone: (712) 246-2635
Fax: (712) 246-3933

The enumeration date for this NPI number is 3/26/2007 and was last updated on 10/6/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246ZS0410X	Specialist/Technologist, Other	Surgical Technologist			No
2	224L00000X	Pedorthist		074625	IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	547455800	MEDICAID	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »