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DICKERSON PEDIATRICS, P.A.
NPI 1467505404
Pediatrics in Sugar Land, TX

Active since January 22, 2007CLIA 45D1063801 · Waiver
4760 SWEETWATER BLVD, SUITE 102, SUGAR LAND, TX 77479(281) 491-5439(281) 240-0577 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dickerson Pediatrics, P.a. NPPES

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

DICKERSON PEDIATRICS, P.A. (NPI 1467505404) is a healthcare organization registered as a pediatrics in Sugar Land, Texas and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through January 22, 2027 and lists Cassandra Dickerson, Executive Committee Member, as its authorized official.

NPPES Registry Identity

NPI1467505404
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDICKERSON PEDIATRICS, P.A.
Location Address4760 SWEETWATER BLVD, SUITE 102Sugar Land, TX 77479-3148
Mailing AddressPo Box 16985Sugar Land, TX 77496-6985 · (281) 491-5439 · Fax (281) 240-0577
Phone(281) 491-5439
Fax(281) 240-0577
Organization SubpartNo
Authorized OfficialCassandra DickersonExecutive Committee Member · (832) 643-7047
Enumeration DateJanuary 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1467505404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · K7434
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4760 SWEETWATER BLVD, Sugar Land, TX 77479
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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 45D1063801

Dickerson Pediatrics, PA · Sugar Land, TX
Active · expires Jan 22, 2027
CLIA Number45D1063801
Laboratory TypePhysician Office
Certificate Effective DateJanuary 23, 2025
Certificate Expiration DateJanuary 22, 2027
Laboratory DirectorCassandra N. Dickerson
Laboratory Phone(281) 491-5439
Laboratory LocationDickerson Pediatrics, PA4760 Sweetwater Blvd, Suite 102, Sugar Land, TX 77479
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 4

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

DR. NASRULLAH MANJI M.D.
Internal Medicine (Gastroenterology)
4760 SWEETWATER BLVD, SUITE 101
SUGAR LAND, TX 77479
Fort Bend County (281) 491-9387
MS. RUTH IKOBE NP
Clinical Nurse Specialist
4760 SWEETWATER BLVD, SUITE 101
SUGAR LAND, TX 77479
Fort Bend County (281) 491-9300
CAMPBELLS COMPOUNDING PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
4760 SWEETWATER BLVD, STE 103
SUGAR LAND, TX 77479
Fort Bend County (281) 980-2555
DR. CASSANDRA NASH DICKERSON M.D.,F.A.A.P.
Pediatrics
4760 SWEETWATER BLVD, SUITE 102
SUGAR LAND, TX 77479
Fort Bend County (281) 491-5439

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 Dickerson Pediatrics, P.A.'s NPI number?

The NPI number for Dickerson Pediatrics, P.A. is 1467505404. It was assigned to this organization in the NPPES registry on January 22, 2007.

Where is Dickerson Pediatrics, P.A. located?

Dickerson Pediatrics, P.A. is located at 4760 Sweetwater Blvd Suite 102, Sugar Land, TX 77479. The listed phone number is (281) 491-5439.

What is Dickerson Pediatrics, P.A.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Dickerson Pediatrics, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1063801) is associated with this NPI, valid through January 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dickerson Pediatrics, P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.