DR. DAVID DICKINSON DMD
NPI 1144699919
Dentist in Medford, OR

Active since September 22, 2015PECOS Enrolled
1113 PROGRESS DR, MEDFORD, OR 97504(541) 512-3900(541) 414-1175 Get Directions Write a Review

NPPES record last updated: September 22, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. David Dickinson Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID DICKINSON DMD (NPI 1144699919) is an individual dentist in Medford, Oregon, licensed in Oregon (D5950) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144699919
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. DAVID DICKINSONCredential: DMD
Location Address1113 PROGRESS DRMedford, OR 97504-5201
Mailing Address3616 S Pacific HwyMedford, OR 97501-8912
Fax(541) 414-1175
Sole ProprietorNo
Enumeration DateSeptember 22, 2015
NPI 1144699919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in OR · D5950
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1113 PROGRESS DR, Medford, OR 97504

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. David Dickinson Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dental Hygienist
1113 PROGRESS DR
MEDFORD, OR 97504
Dental Hygienist
1113 PROGRESS DR
MEDFORD, OR 97504
Dentist
1113 PROGRESS DR
MEDFORD, OR 97504
Dentist
1113 PROGRESS DR
MEDFORD, OR 97504
Dentist (General Practice)
1113 PROGRESS DR
MEDFORD, OR 97504
Dentist
1113 PROGRESS DR
MEDFORD, OR 97504
Dentist
1113 PROGRESS DR
MEDFORD, OR 97504
Counselor
1113 PROGRESS DR
MEDFORD, OR 97504

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Dickinson's NPI number?

The NPI number for David Dickinson is 1144699919. It was assigned to this individual provider in the NPPES registry on September 22, 2015.

Where is David Dickinson located?

David Dickinson practices at 1113 Progress Dr, Medford, OR 97504. The listed phone number is (541) 512-3900.

What is David Dickinson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is David Dickinson enrolled in Medicare?

Yes. David Dickinson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Dickinson was last updated on September 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.