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DICKSON STREET CLINIC
NPI 1427236926
Family Medicine - Adult Medicine in Fayetteville, AR

Active since February 06, 2008
102 W DICKSON ST, FAYETTEVILLE, AR 72701(479) 521-1114(479) 521-2540 Get Directions Write a Review

NPPES record last updated: February 6, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dickson Street Clinic NPPES

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

DICKSON STREET CLINIC (NPI 1427236926) is a healthcare organization registered as an adult medicine in Fayetteville, Arkansas and active in the NPI registry since February 2008. The organization lists Carl R Magness, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1427236926
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameDICKSON STREET CLINIC
Location Address102 W DICKSON STFayetteville, AR 72701-5219
Mailing Address102 W Dickson StFayetteville, AR 72701-5219 · (479) 521-1114 · Fax (479) 521-2540
Phone(479) 521-1114
Fax(479) 521-2540
Organization SubpartNo
Authorized OfficialCarl R MagnessOwner/physician · (479) 521-1114
Enumeration DateFebruary 6, 2008
✔ NPI 1427236926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in AR · C4954
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
102 W DICKSON ST, Fayetteville, AR 72701
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Other Identifiers 2

Medicare UPIND16969AR
Medicare PIN5C742AR

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

Other Providers at the Same Location NPPES

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

CARL ROBERT MAGNESS M.D.
Family Medicine (Adult Medicine)
102 W DICKSON ST
FAYETTEVILLE, AR 72701
Washington County (479) 521-1114

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 Dickson Street Clinic's NPI number?

The NPI number for Dickson Street Clinic is 1427236926. It was assigned to this organization in the NPPES registry on February 6, 2008.

Where is Dickson Street Clinic located?

Dickson Street Clinic is located at 102 W Dickson St, Fayetteville, AR 72701. The listed phone number is (479) 521-1114.

What is Dickson Street Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Dickson Street Clinic was last updated on February 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.