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DICKINSON FAMILY MEDICINE CLINIC
NPI 1174388078
Family Medicine in Dickinson, TX

Active since February 20, 2024CLIA 45D2301547 · Waiver
1455 FM 646 RD W STE 100, DICKINSON, TX 77539(346) 689-5870 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dickinson Family Medicine Clinic NPPES

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

DICKINSON FAMILY MEDICINE CLINIC (NPI 1174388078) is a healthcare organization registered as a family medicine in Dickinson, Texas and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through March 26, 2028 and lists Chris Simpson, Physician, as its authorized official.

NPPES Registry Identity

NPI1174388078
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDICKINSON FAMILY MEDICINE CLINIC
Location Address1455 FM 646 RD W STE 100Dickinson, TX 77539-2038
Mailing Address1455 Fm 646 Rd W Ste 100Dickinson, TX 77539-2038 · (346) 689-5870 · Fax (949) 695-4309
Phone(346) 689-5870
Organization SubpartNo
Authorized OfficialChris SimpsonPhysician · (346) 689-5870
Enumeration DateFebruary 20, 2024
Last NPPES UpdateApril 8, 2024
NPPES CertifiedApril 8, 2024
✔ NPI 1174388078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1455 FM 646 RD W STE 100, Dickinson, TX 77539
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2301547

Dickinson Family Medicine Clinic · Dickinson, TX
Active · expires Mar 26, 2028
CLIA Number45D2301547
Laboratory TypePhysician Office
Certificate Effective DateMarch 27, 2026
Certificate Expiration DateMarch 26, 2028
Laboratory DirectorChris R. Simpson
Laboratory Phone(346) 689-5870
Laboratory LocationDickinson Family Medicine Clinic1455 Fm 646 Rd W Suite 100, Dickinson, TX 77539
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

CHRIS SIMPSON M.D.
Family Medicine
1455 FM 646 RD W STE 100
DICKINSON, TX 77539
Galveston County (346) 689-5870
PREMISE HEALTH OF TEXAS MEDICAL, P.A
Clinic/Center (Multi-Specialty)
1455 FM 646 RD W STE 100
DICKINSON, TX 77539
Galveston County (281) 316-8757

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 Dickinson Family Medicine Clinic's NPI number?

The NPI number for Dickinson Family Medicine Clinic is 1174388078. It was assigned to this organization in the NPPES registry on February 20, 2024.

Where is Dickinson Family Medicine Clinic located?

Dickinson Family Medicine Clinic is located at 1455 Fm 646 Rd W Ste 100, Dickinson, TX 77539. The listed phone number is (346) 689-5870.

What is Dickinson Family Medicine Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Dickinson Family Medicine Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2301547) is associated with this NPI, valid through March 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dickinson Family Medicine Clinic was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.