GREGG ALAN DICKERSON M.D., NPI 1699777854
Radiology in LONE TREE, CO
Last Updated on : Nov 30,2016
About GREGG ALAN DICKERSON (NPI 1699777854)
GREGG ALAN DICKERSON is a Radiology provider in LONE TREE, United States. His medical specialization is Radiology with a focus in Radiation Oncology.
1699777854 is NPI number of GREGG ALAN DICKERSON.
GREGG ALAN DICKERSON's primary taxonomy code based on NPI Lookup is 2085R0001X with license number 47586. This taxonomy code refers to Radiology.
GREGG ALAN DICKERSON has more than 17 years of experience.
GREGG ALAN DICKERSON current practice location address is 10542 LIETER PL, LONE TREE, CO. GREGG ALAN DICKERSON can be reached out via phone at 303-506-4753 .
You can also correspond with GREGG ALAN DICKERSON through mail at mailing address 1514 E UNION ST, GREENVILLE, MS, United States. Mailing address contact number is 662-332-6150.
The enumeration date of GREGG ALAN DICKERSON is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 7 years ago.1699777854 NPI Information
Basic NPI information of GREGG ALAN DICKERSON (NPI 1699777854) is provided below.
| Name | GREGG ALAN DICKERSON |
|---|---|
| National Provider Id (NPI) | 1699777854 |
| Entity Type | Individual |
| Gender | M |
| Credential | M.D. |
| Practice Address | 10542 LIETER PL,
LONE TREE, CO, United States |
| Practice Telephone | 303-506-4753 |
| Practice Fax Number | |
| Mailing Address | 1514 E UNION ST ,
GREENVILLE, MS, United States |
| Mailing Telephone | 662-332-6150 |
| Mailing Fax Number | |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 30-Nov-2016 |
GREGG ALAN DICKERSON (NPI 1699777854) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 2085R0001X | Radiology, Radiation Oncology | 47586 | CO |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
GREGG ALAN DICKERSON (NPI 1699777854) Secondary Taxonomy Information
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| N | 174400000X | Specialist | 17812 | MS |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10781438 | Other (non-Medicare) (01) | MS | unitedhealthcare caqh |
| 896610 | Other (non-Medicare) (01) | MN | usa managed care org |
| E09498 | MEDICARE UPIN (02) | ||
| e09498 | MEDICARE UPIN (02) | MS |
GREGG ALAN DICKERSON (NPI 1699777854) Office Location
Office location of GREGG ALAN DICKERSON is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1477531291 | MELANIE R BAUGHN | Emergency Medicine | 9695 S. YOSEMITE,
STE. 150 LONE TREE, CO, United States |
03-Jan-2006 |
| 1457418923 | MICHAEL J SCHWEID | Physician Assistant, Surgical | 325 E ILIFF AVE,
DENVER, CO, United States |
03-Jan-2007 |
| 1265949036 | NANCY HUCKEBY-GONZALEZ | Massage Therapist | 7446 INDIAN WELLS WAY,
LONE TREE, CO, United States |
03-Jan-2018 |
| 1528305968 | SARAH B GIBBONS | Physical Therapist | 9218 KIMMER DR,
SUITE 100 LONE TREE, CO, United States |
04-Jan-2013 |
| 1457896128 | SONIA MOOKHERJEA | Physician Assistant | 10455 PARK MEADOWS DR UNIT 102,
LONE TREE, CO, United States |
04-Jan-2017 |
| 1144208513 | ERIC A. LUNG | Emergency Medicine | PO BOX 173862,
DENVER, CO, United States |
05-Jan-2006 |
| 1851449227 | ELIZABETH A FRY | Speech-Language Pathologist, | 8010 S HOLLY ST,
SUITE 204 CENTENNIAL, CO, United States |
08-Jan-2007 |
| 1003964495 | LUANN GOOD-DECURNOU | Occupational Therapist, Hand | 500 W 144TH AVE STE 230,
WESTMINSTER, CO, United States |
08-Jan-2007 |
| 1396252474 | YONG SHI | Medical Genetics, Clinical Molecular Genetics | 10487 CHEETAH WINDS,
LONE TREE, CO, United States |
10-Jan-2018 |
| 1023526175 | JOSHUA ARGUELLO | Physical Therapist | 1580 DETROIT ST APT 306,
DENVER, CO, United States |
10-Jan-2018 |
| 1114077179 | GREGORY JOSEPH FELLMAN | Social Worker, Clinical | 10350 E DAKOTA AVE,
DENVER, CO, United States |
11-Jan-2007 |
| 1184013336 | NIEL HARTWELL | Clinical Nurse Specialist, Medical-Surgical | 10103 RIDGEGATE PKWY STE 306,
LONE TREE, CO, United States |
12-Jan-2015 |
| 1417313099 | SAMUEL ROLL | Technician, Other | 10103 RIDGEGATE PKWY STE 306,
LONE TREE, CO, United States |
12-Jan-2016 |
| 1063698678 | MITZIE RENEE GIBBS | Physical Therapist | 9777 S YOSEMITE ST,
SUITE 110 LONE TREE, CO, United States |
14-Jan-2008 |
| 1386795540 | THE SURGERY CENTER AT LONE TREE, LLC | Clinic/Center, Ambulatory Surgical | 8500 PARK MEADOWS DRIVE,
SUITE 100 LONE TREE, CO, United States |
15-Jan-2007 |
| 1538345913 | CYNTHIA DALTON | Nutritionist, Nutrition, Education | 9660 KINGS MILL LN,
LONE TREE, CO, United States |
15-Jan-2008 |
| 1558835348 | APRIL OUEDRAOGO | Psychologist, School | 7975 S KITTREDGE ST,
ENGLEWOOD, CO, United States |
15-Jan-2019 |
| 1528112208 | SHARI SUE WALLS | Pharmacist | 10103 RIDGEGATE PKWY,
LONE TREE, CO, United States |
22-Jan-2007 |
| 1770636417 | LUXOTTICA RETAIL NORTH AMERICA INC | Eyewear Supplier (Equipment, not the service) | 4000 LUXOTTICA PL,
ATTN MEDICARE DEPT MASON, OH, United States |
18-Jan-2007 |
| 1942548359 | KATHRYN LEWIS SMITH | Physician Assistant, Surgical | 3455 LUTHERAN PKWY STE 105,
WHEAT RIDGE, CO, United States |
18-Jan-2013 |
How to check whether NPI 1063496693 is valid?
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
FAQs
Whose NPI Number is 1699777854?1699777854 is the NPI number of GREGG ALAN DICKERSON.
What is the specialty for GREGG ALAN DICKERSON?The Specialty of GREGG ALAN DICKERSON is Radiology.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|