Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. THEODORE ARTHUR DIZIKES DO
NPI 1841858768
Plastic Surgery in Detroit, MI

Q: What is Theodore Dizikes's NPI number?

The NPI number for Theodore Dizikes is 1841858768. It was assigned to this individual provider in the NPPES registry on June 5, 2019.

Q: What is Theodore Dizikes's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Theodore Dizikes was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.

Active since June 05, 2019

2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2676 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 3, 2026, Jun 5, 2019 (2 updates tracked since 2019).

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About Dr. Theodore Arthur Dizikes Do NPPES

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

DR. THEODORE ARTHUR DIZIKES DO (NPI 1841858768) is an individual plastic surgery provider in Detroit, Michigan, licensed in Michigan (5101029541) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1841858768

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameDR. THEODORE ARTHUR DIZIKESCredential: DO

Location Address2799 W GRAND BLVDDetroit, MI 48202-2608

Mailing AddressPo Box 670884Detroit, MI 48267-0884 · (313) 874-4806

Phone(313) 916-2676

Sole ProprietorNo

Enumeration DateJune 5, 2019

Last NPPES UpdateAugust 3, 20262 updates tracked since enumeration

NPPES CertifiedAugust 3, 2026

✔ NPI 1841858768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in MI · 5101029541

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2799 W GRAND BLVD, Detroit, MI 48202

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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.

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