DR. DANIEL JACKSON DICKMAN D.O. NPI 1902256548

NPI Information

  • NPI: 1902256548
  • Provider Name: DR. DANIEL JACKSON DICKMAN, D.O.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 190 E BANNOCK ST
    BOISE, ID
    ZIP 83712
  • Phone: (208) 381-2809

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NPI Details

DR. Daniel Jackson Dickman, D.O. is a diagnostic radiology radiology in Boise, ID with 9 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Daniel Jackson Dickman, D.O. NPI is 1902256548. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

190 E BANNOCK ST
BOISE, ID
ZIP 83712-241
Phone: (208) 381-2809
Fax: (208) 381-1791

The NPI 1902256548 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Screening mammography (HCPCS:77067)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Screening 3d breast mammography (HCPCS:77063)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Biopsy of breast and placement of locating device using ultrasound, first growth (HCPCS:19083)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)

The enumeration date for this NPI number is 6/14/2016 and was last updated on 7/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology009081ARIZONANo
2208600000XSurgeryR2701ARIZONANo
3390200000XStudent in an Organized Health Care Education/Training ProgramNEW MEXICONo
42085R0202XRadiologyDiagnostic RadiologyO-1709IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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